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Latest Clinical Approaches in the Ocular Management of Cystinosis: A Review of Current Practice and Opinion from the Ophthalmology Cystinosis Forum.

Cystinosis, a rare autosomal recessive disease caused by intracellular cystine accumulation, occurs in an estimated 1/100,000-200,000 live births. Ocular non-nephropathic cystinosis is typically diagnosed during adulthood, when patients present with corneal crystal deposition and no systemic involvement. Due to the rarity of the condition, diagnosis is often delayed and can have a significant impact on the overall prognosis of the disease. Early diagnosis is therefore imperative to ensure successful treatment and improve quality of life, as most of its clinical manifestations can be prevented

Практическое руководство по клиническому лечению окулярных неблагоприятных явлений, связанных с белантамбовым мафодотином у пациентов с повторной/редактированной множественной миеломой: рекомендации группы экспертов Японии.

Существенной причиной смертности является множественная миелома, а лечение пациентов с множественными миеломами с рецидивом/перестройкой имеет ограниченную эффективность. Режимы лечения с использованием белантамаба мафодотина свидетельствуют о значительном улучшении положения в плане обеспечения бесперебойного выживания по сравнению с нынешними стандартными режимами ухода, однако они связаны с повышенным риском возникновения окулярных неблагоприятных явлений (ОАЭ). Цель этих практических руководящих принципов состоит в том, чтобы дать рекомендации для оказания помощи японским врачам в управлен

Селинксор в сочетании с помалидомидом и дексаметазоном для лечения первичной плазменной лейкемии с 1q21+ аномалией: отчет о деле.

RATALE: Первичная плазменная лейкемия клеток представляет собой редкое и крайне агрессивное нарушение системы крови с быстрым распространением заболеваний и высоким коэффициентом ранней смертности. В настоящее время не существует признанного терапевтического режима, что приводит к принятию стратегий, обычно используемых в отношении множественной миэломы, которая, однако, демонстрирует ограниченную эффективность. Селинксор считается эффективным средством лечения рецидива/рефрактора множественной миеломы, однако в настоящее время нет сообщений о его применении в первичном лейкемии клеток плазмы.

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… He was initially diagnosed with intestinal obstruction at a local hospital and received supportive treatment including fasting, bowel lubrication, intravenous nutrition, infection control, and maintenance of internal environment stability. …

Практическое руководство по клиническому управлению окулистическими неблагоприятными событиями, связанными с Belantamab Mafodotin для пациентов с повторной/редактированной миеломой: рекомендации Группы экспертов стран Латинской Америки.

Множественная миелома является значительной причиной смертности во всем мире, и, хотя изменения в области лечения в целом улучшили результаты, многие пациенты становятся небрежными к стандартной терапии. В Латинской Америке результаты являются особенно неблагоприятными, что еще больше усугубляется препятствиями на пути доступа и равенства. Belantamab mafodotin — новый антитело-наркоманный матрос, направленный против анти-B-клеток антигена. Two недавно фазы 3 - судебные разбирательства, DREAMM-7 и DREAMM-8, продемонстрировали заметную эффективность комбинаций белантамб мафодотина у пациентов с

Проверка полиномического (нелинейного) воздействия неврологической и физической инвалидности на сексуальное благополучие при множественном склерозе.

Множественный склероз (MS) относится к числу наиболее распространенных хронических аутоиммунных расстройств, затрагивающих центральную нервную систему. В Польше коэффициент заболеваемости НР составляет 6.3 Процент 100,000 Пациенты. Результаты исследований свидетельствуют о том, что люди, страдающие от НР, в меньшей степени вовлечены в сексуальную жизнь как в физическом, так и в эмоциональном плане, они считают, что секс для них менее важен, чем для здоровых людей, и их половая мотивация ограничена, особенно его физическое измерение. МЕТОДЫ: Всего 121 В исследовании приняли участие люди. Он исп

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… In the group of women with MS, the most frequently declared problems in the sexual sphere are anorgasmia, reduced libido, lubrication problems, pain, muscle spasticity, and worries about the sexual satisfaction of their partner [ 15 , 18 ]. …

Corneal confocal microscopy to detect early immune-mediated small nerve fibre loss in AL amyloidosis.

ObjectiveLight chain (AL) amyloidosis is a life-threatening disorder characterised by extracellular deposition of amyloid leading to dysfunction of multiple organs. Peripheral nerve involvement, particularly small fibre neuropathy, may be associated with poorer survival. Corneal confocal microscopy (CCM) is a rapid and non-invasive imaging technique to quantify corneal small nerve fibres and immune cells in vivo. We aimed to evaluate CCM as a tool for early diagnosis of peripheral nerve involvement in AL amyloidosis.MethodsCCM and nerve conduction studies (NCS) were undertaken in 21 newly diag

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… Viscotears liquid gel was applied to the eye for lubrication and to establish a thin gel bridge between the corneal surface and a sterile, single‐use lens cap. Several scan cycles of the entire depth of the cornea were carried out focusing on the sub‐basal nerve plexus at the centre of the cornea. …

Clinical Practice Guidelines for Menopause: An Executive Summary and Recommendations: Indian Menopause Society 2026.

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Shimmering Clarity: A Rare Case Report of Ocular Cystinosis.

INTRODUCTION: Ocular cystinosis is a rare hereditary lysosomal storage disorder characterized by amino acid cystine deposition in various tissues, prominently affecting the cornea and conjunctiva. While typically diagnosed in childhood, cases in adults may present atypically or as part of the nephropathic spectrum. This report highlights the clinical presentation, diagnosis, and management of ocular cystinosis in a 37-year-old male. CASE PRESENTATION: A 37-year-old male presented with complaints of photophobia and ocular discomfort for a duration of 6 months. On slit-lamp examination, charact

Silencing SFRP1 in bone mesenchymal stem cells alleviates pediatric B-ALL-driven bone loss by activating Wnt/β-catenin signaling.

BackgroundBone loss is the most common skeletal complication of childhood acute lymphoblastic leukemia (ALL) and seriously affects the long-term survival quality of children. However, the mechanisms behind bone loss are complicated and need to be elucidated. This study seeks to examine the principal parameters influencing the osteogenic development of bone marrow mesenchymal stem cells (BMSCs) in pediatric patients with B-cell acute lymphoblastic leukemia (B-ALL) experiencing bone loss, and to identify viable ways for alleviating bone loss.MethodsFirstly, bone mass of adolescent B-ALL patients

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… Our group has previously developed liposome-based delivery systems capable of modulating disease-associated microenvironments, as exemplified by a folate-modified liposomal hydrogel that simultaneously targeted pro-inflammatory macrophages and restored cartilage lubrication in osteoarthritis rats, thereby … Bionic bearing-inspired lubricating microspheres with immunomodulatory effects for osteoarthritis therapy J Nanobiotechnol 23 1 2025 457 [eng] 10.1186/s12951-025-03544-2 PMC12180219 40542398 21 He X. Chen M. Zhang X. Cheng X. Chen Y. Shen H. …

Multidisciplinary Management of Morbidities Associated with Chronic Graft-Versus-Host Disease.

Chronic graft-versus-host disease (cGVHD) represents a common long-term complication after allogeneic hematopoietic stem cell transplantation (HSCT). It imposes a significant morbidity burden and is the leading cause of non-relapse mortality among long-term HSCT survivors. cGVHD can manifest in nearly any organ, severely affecting the quality of life of a transplant survivor. While the mainstay of treatment has remained systemic immunosuppression with glucocorticoids, progress has been made within the last few years with approvals of three oral agents to treat steroid-refractory cGVHD: ibrutin

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… burning, and photosensitivity. 15 Conjunctival involvement with conjunctivitis and fibrosis also occurs in around 10% of patients with cGVHD. 15 Corneal involvement ulceration or perforation is also possible, either because of the direct inflammatory involvement of the cornea or inadequate protective lubrication … Ophthalmologists versed in GVHD also supervise the use of topical therapies, such as with lubricants and anti-inflammatory drops (e.g., corticosteroid, tacrolimus, cyclosporine), scleral lenses, and procedural interventions which are the mainstay of ocular cGVHD management, as systemic therapy rarely …

Therapeutic potential of Fingolimod in triple negative breast cancer preclinical models.

Surgery followed by a chemotherapy agent is the first-line treatment for breast cancer patients. Nevertheless, new targets are required for women with triple-negative breast cancer (TNBC) in order to improve the treatment of this aggressive cancer subtype. Multiple pro-inflammatory molecules including lipid-based substances such as sphingosine-1-phosphate (S1P) promote cancer progression. In this preclinical study, we aim to investigate the efficacy of Fingolimod, an inhibitor of S1P / S1P receptors axis, already approved as an immunomodulator in multiple sclerosis. The impact of Fingolimod wa

Prevalence, classifications and factors associated with sexual dysfunction among adult cancer patients on chemotherapy at the Uganda Cancer Institute, Mbarara.

BACKGROUND: Sexual dysfunction is a social challenge that devastates many people, including cancer patients. However, among the numerous reported side effects of chemotherapy sexual dysfunction is the least studied and reported. The chemotherapeutics used among cancer patients are potential risk factors for the development of sexual dysfunction, and such an understanding of these risk factors can lead to numerous interventions to bypass their effects on sexual activity. OBJECTIVE: The goal of this study was to determine the prevalence, classification and factors associated with sexual dysfunc

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… Sexual desire maximum has a score of 6, arousal maximum score of 6, lubrication maximum score of 6, orgasm maximum score of 6, vaginal pain maximum score of 6 and satisfaction maximum score of 6. …

Гинекологическое здоровье женщин с множественным склерозом: обзор текущего состояния и результатов тестов Папаниколау в условиях низких доходов.

КОЛИЧЕСТВО: Женщины, имеющие MS (wMS), в частности женщины, находящиеся в условиях с низким уровнем дохода и подверженные воздействию гинекологической терапии (DMT), могут иметь особые проблемы, связанные с гинекологическим здоровьем. AIM: Оказание помощи в разработке политики и проведении дальнейших исследований путем описания нынешнего состояния гинекологического здоровья и результатов тестов Папаниколау в системе WwMS. МЕТОДЫ: Межсекциональное исследование wwMS, проживающее в Исфахане, Иран. Участники были обследованы и направлены для проведения теста Папаниколау, результаты которого были с

Ascites Index - an attempt to objectify the assessment of ascites.

IntroductionAscites is observed in cancer patients as well as in other non-neoplastic processes. In some patients, it may cause severe symptoms that can become directly life-threatening. The assessment of the degree of ascites seems useful in the determination of treatment effects as well as in the monitoring of fluid accumulation and early planning of decompression procedures.AimDetermination of the clinical usefulness of a quantitative method of determining the degree of ascites, so-called Ascites Index.Material and methodsThe Ascites Index is an ultrasonographic way of assessing the grade o

Ocular toxicity associated with antibody-drug conjugates in cancer therapy: a comprehensive review.

Ocular toxicity from anti-cancer drugs is frequently overlooked, largely because it is non-life-threatening, whereas clinical priorities often center on adverse events that pose immediate risks to survival. Antibody-drug conjugates (ADCs) have emerged as an important therapeutic modality in oncology, offering potent cytotoxicity against tumor cells through the targeted delivery of payloads. However, this potency also introduces a spectrum of toxicities, among which ocular toxicity has gained increasing attention. ADC-induced ocular toxicity can impair visual function and significantly compromi

Vaginal complications of graft-versus-host disease after hematopoietic stem cell transplantation: a cross-sectional study.

BACKGROUND: Stem cell transplantation is a clinical approach used to treat certain types of cancers, such as hematologic malignancies. Graft-versus-host disease (GVHD) occurs in 30-70% of cases and often diminishes the quality of life of transplant patients. This study aimed to determine the prevalence of vaginal complications of GVHD following hematopoietic stem cell transplantation. METHODS: This study employed an analytical cross-sectional design. All patients referred to Shariati Hospital in Tehran between 2019 and 2020 who underwent hematopoietic stem cell transplantation were considered

Optimizing oncology drug development: systematic review of 22 years of myeloma randomized controlled trials.

BACKGROUND: Although myeloma represents a key success story in oncology, some drugs have failed to meet primary endpoints in randomized controlled trials (RCTs), despite promising early phase activity. This analysis aimed to understand factors that increase the likelihood of meeting primary endpoints in myeloma RCTs. METHODS: Myeloma RCTs published through October 2023 were identified using MEDLINE, PubMed, Embase, and the Cochrane Registry. Studies were classified as head-to-head (substituting 1 regimen for another) or add-on (adding 1 drug to existing regimen). Trials were considered succes

Ophthalmic Manifestations in Patients with Blood Malignancies.

Ocular complications can occur in up to 90% of patients with blood malignancies. Such complications range from direct infiltration to local hemostatic imbalance and treatment-related toxicity. This narrative review is based on a systematic computerized search of the literature conducted until January 2024 and examines the common ocular complications associated with blood cancers. Ocular complications from primary disease include mass effects from ocular adnexal lymphomas and intraocular lymphomas, with B-cell lymphomas accounting for 95% of primary ocular presentations. Secondary disease invol

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… keratoconjunctivitis sicca as determined by a slit lamp examination, with a mean Schirmer’s test value of 6 to 10 mm | Pathological Schirmer’s test (<10 mm in 5 min) without anesthesia | Positive corneal fluorescein staining | Presence of conjunctival injection Treatment of oGVHD has different objectives: (i) lubrication …

Study on Effects of Cyclophosphamide Combined with Vinorelbine in Advanced Small Cell Lung Cancer and Anteroposterior Changes in MRI.

ObjectiveTo explore the effects of cyclophosphamide combined with vinorelbine in advanced small cell lung cancer (SCLC) and anteroposterior changes in MRI.MethodsThe clinical data of 90 patients with advanced SCLC admitted to our hospital from April 2020 to April 2021 were retrospectively analyzed. They were divided into the control group and the study group according to the order of admission, with 45 cases in each group. The control group received the routine treatment, while the study group was treated with cyclophosphamide and vinorelbine to compare the indexes of imaging data and clinical

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… Kishikawa et al. [ 25 ] have found that CA125, as a glycoprotein involved in the protection of cell function and lubrication, is often found in normal tissues such as ovarian epithelium and thoracoabdominal membrane and has an abnormally high expression in the serum of endometrial cancer, cervical cancer …

Conjunctival Acute Graft-versus-Host Disease in Adult Patients Receiving Allogeneic Hematopoietic Stem Cell Transplantation: A Cohort Study.

BACKGROUND: To investigate the incidence, risk factors and survival of conjunctival acute graft-versus-host disease (aGVHD) in adult patients undergoing allogeneic hematopoietic stem cell transplantation (HSCT). METHODS: This retrospective study included a total of 139 patients undergoing allogeneic HSCT between January 2012 and December 2014 at a tertiary referral hospital. Patients with ocular complaints after allogeneic HSCT or first donor lymphocyte infusion were evaluated by ophthalmologists. The risk factors for conjunctival aGVHD were analyzed using the Cox proportional hazards model.

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… The mainstay of therapy for conjunctival aGVHD includes lubrication, topical antibiotics and topical anti-inflammatory agents [ 27 ]. Topical corticosteroids promote lymphocyte apoptosis and suppress cell-mediated inflammation [ 28 – 29 ]. …