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A Multi-step Approach to Adapting a Mind-Body Resiliency Intervention for Fear of Cancer Recurrence and Uncertainty in Survivorship (IN FOCUS).

BackgroundFor cancer survivors, there is a paucity of fear of recurrence (FOR) interventions that integrate empirically supported mind-body and psychological skills for managing FOR and are delivered in scalable formats.ObjectiveTo adapt an evidence-based resiliency intervention to address FOR among cancer survivors.MethodsA multidisciplinary team of researchers, clinicians, and patient stakeholders followed an iterative intervention adaptation process (ORBIT). In Step 1, we sought to define key FOR management skills through a literature review and feedback from stakeholders. In Step 2, we int

Многофакторный характер принятия репродуктивных решений женщинами с множественным склерозом.

ВВЕДЕНИЕ: Множественный склероз (МС) является хроническим неврологическим заболеванием, которое часто затрагивает женщин в их репродуктивном возрасте и может влиять на намерения в отношении фертильности и решения в области планирования семьи. Цель этого исследования заключалась в выявлении факторов, связанных с репродуктивным выбором женщин с НР, и в изучении роли психологических, социальных и связанных с болезнями переменных в процессе принятия решений о рождаемости. МЕТОДЫ: В период с августа в Греции было проведено перекрестное исследование. 2023 и декабрь 2024, включая 103 Женщины в возрас

Vegetable Gardening and Health Outcomes in Older Cancer Survivors: A Randomized Clinical Trial.

IMPORTANCE: Cancer survivors experience accelerated functional decline that threatens independence and quality of life. Previous studies have suggested that vegetable gardening may improve diet, physical activity, and physical function in this vulnerable population, which comprises more than 5% of the US population. OBJECTIVE: To assess whether diet, physical activity and functioning, and other outcomes improved in older cancer survivors assigned to a vegetable gardening intervention compared with a waitlist. DESIGN, SETTING, AND PARTICIPANTS: From May 11, 2016, to May 2, 2022, a 2-arm, asse

Global Burden of Rare Cancers: Insights from GLOBOCAN 2022 Estimates.

Background: Rare cancers, defined as those with an incidence rate of fewer than 6 cases per 100,000 individuals, contribute to a substantial portion of the global cancer burden. Despite their impact, they receive less attention than more common malignancies, leading to challenges in early detection, treatment strategies, and research funding. This study aims to assess the global incidence and mortality patterns of rare cancers in 2022 to better understand their contribution to the overall cancer burden and regional disparities. Methods: We conducted a comprehensive analysis using 2022 GLOBOCAN

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… ‘It felt like finding hope only to lose it again’: A grounded theory study of rare cancer policies in Bulgaria. J. Cancer Policy. 2025;44:100570. doi: 10.1016/j.jcpo.2025.100570. 24. Pulumati A., Pulumati A., Dwarakanath B.S., Verma A., Papineni R.V.L. …

Opportunities for shared decision-making about major surgery with high-risk patients: a multi-method qualitative study.

BackgroundLittle is known about the opportunities for shared decision-making when older high-risk patients are offered major surgery. This study examines how, when, and why clinicians and patients can share decision-making about major surgery.MethodsThis was a multi-method qualitative study, combining video recordings of preoperative consultations, interviews, and focus groups (33 patients, 19 relatives, 36 clinicians), with observations and documentary analysis in clinics in five hospitals in the UK undertaking major orthopaedic, colorectal, and/or cardiac surgery.ResultsThree opportunities f

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… The discovery of grounded theory: strategies for qualitative research. 36. Kruser J.M., Pecanac K.E., Brasel K.J., et al. “And I think that we can fix it”: mental models used in righ-risk surgical decision making. Ann Surg. 2015;261:678–684. doi: 10.1097/SLA.0000000000000714. 37. …

Where Do Bone-Targeted Agents RANK in Breast Cancer Treatment?

Breast cancer cells preferentially metastasise to the skeleton, owing, in part, to the fertile environment provided by bone. Increased bone turnover releases growth factors that promote tumour cell growth. In turn, tumour cells release factors that stimulate further bone turnover, resulting in a vicious cycle of metastasis growth and bone destruction. The RANK-RANK ligand (RANKL) pathway plays a key role in this cycle, and inhibition of RANKL using the fully-human monoclonal antibody denosumab, has demonstrated efficacy in delaying skeletal complications associated with bone metastases in thre

A review of neurotoxicities associated with immunotherapy and a framework for evaluation.

Immuno-oncology agents, including immune checkpoint inhibitors (ICIs) and chimeric antigen receptor T (CAR-T) cell therapies, are increasing in use for a growing list of oncologic indications. While harnessing the immune system against cancer cells has a potent anti-tumor effect, it can also cause widespread autoimmune toxicities that limit therapeutic potential. Neurologic toxicities have unique presentations and can progress rapidly, necessitating prompt recognition. In this article, we review the spectrum of central and peripheral neurologic immune-related adverse events (irAEs) associated

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

Evolution of Cancer Pharmacological Treatments at the Turn of the Third Millennium.

The medical history of cancer began millennia ago. Historical findings of patients with cancer date back to ancient Egyptian and Greek civilizations, where this disease was predominantly treated with radical surgery and cautery that were often ineffective, leading to the death of patients. Over the centuries, important discoveries allowed to identify the biological and pathological features of tumors, without however contributing to the development of effective therapeutic approaches until the end of the 1800s, when the discovery of X-rays and their use for the treatment of tumors provided the

Qualitative Analysis of Colorectal Cancer Screening in Rural Nebraska.

Compared to urban residents, rural populations are less likely to engage in colorectal cancer (CRC) screening. As part of a statewide cancer needs assessment, we aimed to elicit rural perspectives about CRC screening and resources. We conducted three focus groups with rural Nebraska cancer survivors and caregivers (N = 20) in Spring 2021 using a collective case study design. Participant awareness of and knowledge about CRC screening methods varied across focus groups; overall, 95% of participants had heard of colonoscopy. Participants were less familiar with fecal tests and had confusion about

Recent Advances in Therapeutics for the Treatment of Alzheimer's Disease.

The most prevalent chronic neurodegenerative illness in the world is Alzheimer's disease (AD). It results in mental symptoms including behavioral abnormalities and cognitive impairment, which have a substantial financial and psychological impact on the relatives of the patients. The review discusses various pathophysiological mechanisms contributing to AD, including amyloid beta, tau protein, inflammation, and other factors, while emphasizing the need for effective disease-modifying therapeutics that alter disease progression rather than merely alleviating symptoms. This review mainly covers m

Chronic Psychological Stress in Oncogenesis: Multisystem Crosstalk and Multimodal Interventions.

Malignant tumors constitute a major global public health burden. Chronic psychological stress (CPS) manifests as sustained dysregulation arising from prolonged adaptive responses to chronic endogenous and exogenous stimuli. Clinical evidence indicates that CPS markedly influences cancer progression, with most oncology patients developing detectable stress-related psychological disorders during disease management. This review synthesizes recent advances in understanding CPS-mediated oncogenic mechanisms and evaluates current intervention approaches. Mechanistically, CPS compromises immune surve

Engineering with Biomedical Sciences Changing the Horizon of Healthcare-A Review.

In the dynamic realm of healthcare, the convergence of engineering and biomedical sciences has emerged as a pivotal frontier. In this review we go into specific areas of innovation, including medical imaging and diagnosis, developments in biomedical sensors, and drug delivery systems. Wearable biosensors, non-wearable biosensors, and biochips, which include gene chips, protein chips, and cell chips, are all included in the scope of the topic that pertains to biomedical sensors. Extensive research is conducted on drug delivery systems, spanning topics such as the integration of computer modelin

Изучение стрессовых факторов и ресурсов труда и их предполагаемого воздействия на симптомы и трудоспособность работников с множественным склерозом: качественное исследование.

Неблагоприятные условия труда могут привести к сокращению рабочего времени, изменению карьеры или досрочному выходу из состава рабочей силы среди работников с множественным склерозом. Цель настоящего исследования состояла в том, чтобы изучить связанные с работой стрессовые факторы и ресурсы, а также их воздействие на симптомы и трудоспособность, как считают работники с множественным склерозом в Германии. МЕТОДЫ: Полуструктурные собеседования проводились по видеоконференциям и телефону. Собеседования были зарегистрированы, транскрибированы и проанализированы с использованием MAXQDA и качественн

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… The discovery of grounded theory. Chicago: Aldine Pub. Co.; 1967. 40. Dresing T, Pehl T. Transkription. Handbuch Qualitative Forschung in der Psychologie. Springer Fachmedien Wiesbaden. 2020:1–20. 10.1007/978-3-658-18387-5_56-2. 41. …

Assessing the benefit: risk ratio of a drug--randomized and naturalistic evidence.

Randomized evidence from clinical trials and naturalistic evidence collected from pharmacoepidemiology and pharmacovigilance activities both contribute to the initial and continuous assessment of the benefits and risks of a drug, ie, the balance between therapeutic efficacy and safety risks. Benefit-risk assessment (BRA) mainly relies on a qualitative assessment of quantitative data. Current attempts to quantify BRA are reviewed and discussed, along with the expectations of regulatory authorities such as the Food and Drug Administration and the European Medicines Agency. No method provides a f

'Unpacking' pathways to lymphoma and myeloma diagnosis: Do experiences align with the Model of Pathways to Treatment? Findings from a UK qualitative study with patients and relatives.

ObjectivesTo explore alignment of experiences before lymphoma and myeloma diagnosis with the appraisal, help seeking and diagnostic intervals in the Model of Pathways to Treatment (MPT).DesignA qualitative study using in-depth semistructured interviews with patients and relatives. Interviews were transcribed verbatim, anonymised and analysed using qualitative description.SettingA UK population-based haematological malignancy patient cohort.ParticipantsFifty-five patients (35 lymphoma, 20 myeloma: diagnosed 2014-2016) and 28 relatives participated, within around a year of the patient's diagnosi

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… Constructing grounded theory: a practical guide through qualitative analysis. Sage, 2006. 36. Lincoln YS, Guba EG, Pilotta JJ. Naturalistic inquiry. Sage Publications, 1985: 438–9. 10.1016/0147-1767(85)90062-8 37. Howell DA, Smith AG, Roman E. Help-Seeking behaviour in patients with lymphoma. …

Возможности и препятствия для глубокого изучения биологии и медицины.

Глубокое обучение описывает класс алгоритмов машинного обучения, которые способны объединять исходные ресурсы в слои промежуточных характеристик. Эти алгоритмы недавно продемонстрировали впечатляющие результаты в различных областях. Биология и медицина являются богатыми данными дисциплинами, однако данные являются сложными и зачастую недопонятными. Поэтому методы глубокого обучения могут быть особенно подходящими для решения проблем в этих областях. Мы изучаем возможности углубленного изучения различных биомедицинских проблем - стационарная классификация, фундаментальные биологические процессы

Cellular Senescence and Aging: Mechanisms, Disease Convergence, and Therapeutic Frontiers.

Cellular senescence, a stress-induced, irreversible cell cycle arrest coupled with a proinflammatory secretory phenotype, has emerged as both a central driver of aging and a tractable therapeutic target. Although acute senescence contributes beneficially to tumor suppression and wound healing, chronic accumulation of senescent cells sustains systemic inflammaging and accelerates organ dysfunction. This review synthesizes current progress in aging biology into a unified mechanistic and translational framework. We first examine how primary aging hallmarks, such as genomic instability and epigene

Physical activity and ageing: The role of physiotherapy in promoting healthy ageing.

BackgroundThe global rise in the older population, especially in sub-Saharan Africa, has heightened the impact of non-communicable diseases (NCDs), responsible for 74% of global deaths and the leading cause for years lived with disability. Physical activity (PA) has proven to manage NCDs; however, 80% of older adults in sub-Saharan Africa engage in low-to-moderate PA levels.ObjectivesThis literature review explores current evidence on the effects of PA on ageing and NCDs in older people in sub-Saharan Africa. Insights gained will enable physiotherapists to refine their PA prescriptions, aligni

Description of Feelings, Perception, and Experience Before and After Switching from IV Daratumumab to the SC Form: A Mixed-Method, Cross-Sectional Survey in Multiple Myeloma Patients in Europe.

PurposeTo provide real-world data on patient perceptions and experiences with subcutaneous (SC) versus intravenous (IV) daratumumab.Patients and methodsThis was a cross-sectional, mixed-method (qualitative/quantitative) survey conducted in France, Germany, Spain and the United Kingdom involving multiple myeloma (MM) patients who switched from IV to SC daratumumab in the last 12 months (qualitative phase) or 24 months (quantitative phase [26 months in the UK]) prior to enrollment in the study.ResultsNine patients (mean age 65 years) participated in the qualitative phase and 113 patients (mean a

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… Grounded Theory - Sample Size. J Admin Governance . 2010;5:45–52. 21. Osborne TR, Ramsenthaler C, de Wolf-Linder S, et al. Understanding what matters most to people with multiple myeloma: a qualitative study of views on quality of life. BMC Cancer . 2014;14:496. doi: 10.1186/1471-2407-14-496 22. …