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Rationale and development of an e-health application to deliver patient-centered care during treatment for recently diagnosed multiple myeloma patients: pilot study of the MM E-coach.

BACKGROUND: Patients with multiple myeloma (MM) increasingly face complicated treatment regimens. E-health may support patients and healthcare providers in enhancing a patient-centered healthcare approach. Therefore, we aimed to develop a patient-centered multi-modality e-health application, to assess the application for usability and end-user experiences. METHODS: The application was developed following an iterative "action-based" methodology using the design thinking approach. Key end users participated, and relevant stakeholders were consulted in the development process. First, the care pa

Трекеты (Trk-Targeting Drugs): Новинная терапия различных заболеваний.

Многие маршруты могут привести к переходу от здорового к больному фенотипу. Однако не так уж много путей, чтобы двигаться в противоположном направлении, т.е. Таким образом, остается следующий насущный вопрос: каковы патогенные пути и как можно противодействовать им в терапевтических целях? Человеческие клетки содержат >500 белковые киназы и почти 200 белковые фосфаты, действующие на тысячи белков, включая факторы роста клеток. Здесь мы обсуждаем нейтрофины с патогенными или метаботрофными способностями, в частности нейротрофический фактор, полученный из мозга, фактор нервного роста (НГФ), про-

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… Conclusions and Perspectives In science, the Apollonian tends to develop established lines to perfection, while the Dionysian rather relies on intuition and is more likely to open new, unexpected alleys for research. …

Atypical presentation of colorectal carcinoma with sole multiple osteolytic bone metastases: a case report.

BACKGROUND: The incidence of colorectal cancer in persons aged < 50 years has been increasing. The diagnosis of colorectal cancer is not difficult if the patient has typical symptoms; however, diagnosis may be difficult in cases with atypical symptoms and signs. We present here an atypical case of metastatic colorectal cancer with fever and sudden onset paraplegia as the sole manifestations. The patient had multiple osteolytic lesions without gastrointestinal symptoms or signs, which resulted in a diagnostic delay of colorectal cancer. CASE PRESENTATION: A 46-year-old Japanese man was transfe

Interpreting Randomized Controlled Trials.

This article describes rationales and limitations for making inferences based on data from randomized controlled trials (RCTs). We argue that obtaining a representative random sample from a patient population is impossible for a clinical trial because patients are accrued sequentially over time and thus comprise a convenience sample, subject only to protocol entry criteria. Consequently, the trial's sample is unlikely to represent a definable patient population. We use causal diagrams to illustrate the difference between random allocation of interventions within a clinical trial sample and tru

Prospective external validation of a three-predictor frailty model for 90-day survival and complications following spinal metastasis surgery.

Background contextSurgical decision-making in patients with spinal metastases remains complex due to the need to balance potential surgical benefits with limited survival and common frailty. Predictive models can assist in this process, but their clinical utility is often limited by complexity and lack of validation.PurposeTo externally validate a simple three-predictor frailty model for 90-day survival and complications, and to compare its performance with other commonly used tools.Study design/settingProspective external validation study conducted at a single tertiary cancer center.Patient s

Development and validation of a multiparametric MRI-based radiomics nomogram for the tripartite discrimination of primary benign, primary malignant, and metastatic lumbar spinal tumors.

ObjectiveTo develop and validate a multiparametric magnetic resonance imaging-based radiomics nomogram for the non-invasive preoperative differentiation of primary benign, primary malignant, and metastatic lumbar spinal tumors.MethodologyThis retrospective study enrolled 100 patients with pathologically confirmed lumbar tumors. Radiomics features were extracted from T1-weighted, T2-weighted, and fat-suppressed T2-weighted sequences. A radiomics signature was constructed using a two-step feature selection method comprising minimum redundancy maximum relevance and least absolute shrinkage and se

Design thinking in cancer care: A systematic literature review.

ObjectiveCancer can have a profound impact on the life of the patient, presenting challenges such as dealing with complex healthcare models and psychological burden. Implementing design thinking (DT) in cancer care can improve the quality of life for patients. Although DT has been used in healthcare, there is limited research highlighting use of DT in cancer care. The objective of this review is to explore the applications of DT within a cancer care context.MethodsWe systematically searched databases (PubMed Central, Scopus, and Medline) for relevant papers published between January 2018 and M

A bibliometric and knowledge-map analysis of bispecific antibodies in cancer immunotherapy from 2000 to 2023.

BackgroundBispecific antibody (BsAb)-based cancer immunotherapy has provided new avenues for the treatment of various malignancies. The approval of Blinatumomab has encouraged further investigation into these treatments, and a series of preclinical and clinical trials have been conducted, together with the publication of numerous articles. Here, the knowledge structure of BsAb-based cancer immunotherapy is summarized using bibliometric analysis to provide in-depth insight into current research trends and foci.MethodsThe studies included in the bibliometric analysis of BsAbs in cancer immunothe

Development of Web-Based Education Modules to Improve Carer Engagement in Cancer Care: Design and User Experience Evaluation of the e-Triadic Oncology (eTRIO) Modules for Clinicians, Patients, and Carers.

BackgroundCarers often assume key roles in cancer care. However, many carers report feeling disempowered and ill-equipped to support patients. Our group published evidence-based guidelines (the Triadic Oncology [TRIO] Guidelines) to improve oncology clinician engagement with carers and the management of challenging situations involving carers.ObjectiveTo facilitate implementation of the TRIO Guidelines in clinical practice, we aimed to develop, iteratively refine, and conduct user testing of a suite of evidence-based and interactive web-based education modules for oncology clinicians (e-Triadi

Искусственный интеллект и наука о вкладе пациента: точка зрения людей с множественным склерозом.

Искусственный интеллект (АИ) может сыграть жизненно важную роль в переходе к прогнозной, профилактической и индивидуализированной медицине при условии, что мы руководствуемся наукой с помощью и с помощью пациента. Меры по достижению результатов, о которых сообщают пациенты (ПРОМ), представляют собой уникальную возможность для получения практических знаний от людей, живущих в условиях здоровья, и обеспечения их научной актуальности для всех других заинтересованных сторон. Несмотря на это, использование стандартизированных результатов, включая ПРОМ, в рамках научно-исследовательской системы и си

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… People want to see that their healthcare professional is also drawing on their experience and intuition as part of the decision-making process. Artificial intelligence might complement the role of healthcare professionals, but should not replace them. …

Feeding the critically ill obese patient: a systematic review protocol.

REVIEW QUESTION/OBJECTIVE: The objective of this review is to identify effective enteral nutritional regimens targeting protein and calorie delivery for the critically ill obese patient on morbidity and mortality.More specifically, the review question is:In the critically ill obese patient, what is the optimal enteral protein and calorie target that improves mortality and morbidity? BACKGROUND: The World Health Organization (WHO) defines obesity as abnormal or excessive fat accumulation that may impair health, or, empirically, as a body mass index (BMI) ≥ 30 kg/m. Twenty-eight percent of the

Clinical and Demographic Correlates of Pornography Addiction: A Cross-sectional Study from India.

BACKGROUND: Pornography addiction is a growing public health concern worldwide, with increasing recognition of its prevalence and consequences in India. This study explores the onset, manifestation, and impact of pornography addiction within the Indian context, addressing the need for culturally relevant research. METHOD: A retrospective, observational, cross-sectional study was conducted using data from 589 individuals who sought treatment for pornography addiction through online and offline healthcare platforms. Patients aged 18 and older were included based on the International Classificat

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… support for addressing behavioral addictions, especially in addressing cognitive distortions and emotion regulation. 17 , 18 The binary logistic regression revealed that receiving psychotherapy was a significant predictor of higher severity ( OR = 1.49, p = .024), possibly reflecting the clinical intuition …

Integrative multi-omics analysis reveals CXCL10-driven inflammation and TREM2 + macrophage-plasma cell survival niche as hallmarks of late-stage rheumatoid arthritis.

BACKGROUND: Rheumatoid arthritis (RA) is characterized by persistent synovial inflammation, yet the molecular mechanisms distinguishing early from late-stage disease remain incompletely elucidated. Identifying stage-specific biomarkers and pathogenic cellular interactions is crucial for precision medicine. OBJECTIVE: To comprehensively characterize the transcriptomic landscape and cellular composition of early versus late RA synovium, identify diagnostic biomarkers, and elucidate key pathogenic cell–cell interactions driving disease chronicity. METHODS: Synovial tissues from 51 RA patients (13

Elbow hemiarthroplasty with a 3D-printed prosthesis for distal humeral bone defects after tumor excision: a case report.

INTRODUCTION: The distal humerus is a rare site for primary and metastatic bone tumors. Due to the scarcity of cases and lack of standardized surgical strategies, it is often difficult for surgeons to choose the right choice. The application of a 3D-printed prosthesis with hemiarthroplasty for the treatment of the distal humerus after tumor resection can be a very effective option. CASE PRESENTATION: We present a clinical case of a 3D-printed distal humeral prosthesis for the treatment of bone defects caused by metastatic bone tumors. The preoperative evaluation was aggressively performed, an

Joint AI-driven event prediction and longitudinal modeling in newly diagnosed and relapsed multiple myeloma.

Multiple myeloma management requires a balance between maximizing survival, minimizing adverse events to therapy, and monitoring disease progression. While previous work has proposed data-driven models for individual tasks, these approaches fail to provide a holistic view of a patient's disease state, limiting their utility to assist physician decision-making. To address this limitation, we developed a transformer-based machine learning model that jointly (1) predicts progression-free survival (PFS), overall survival (OS), and adverse events (AE), (2) forecasts key disease biomarkers, and (3)

Survival protection of patients undergoing hematopoietic stem cell transplantation: grounded theory.

PurposeFor patients with blood malignancies, hematopoietic stem cell transplantation (HSCT) is a significant challenge. These patients have hope to be completely cured after the transplantation, but deal with the dread of dying at the same time. This study presents a deep understanding of the psychological process of the treatment including perception, emotion, interactions, and its consequences in patients undergoing HSCT.MethodsThis study utilized a qualitative method based on the Strauss and Corbin Approach toward the grounded theory. The research population comprised all patients undergoin

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… They found the following themes: (1) Feelings of fear and hope, which varied over time. (2) Intuition that consisted of signs perceived around the patients. … In a Farsi study, patients stated that dreams and intuitions led to changes in their perception. It was a factor in relieving their mood or, conversely, weakening their mood and stress. The same experience was met in the present study. …

Potential value of pre-planned imaging of bone disease in multiple myeloma.

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Is there a subgroup of long-term evolution among patients with advanced lung cancer?: hints from the analysis of survival curves from cancer registry data.

BackgroundRecently, with the access of low toxicity biological and targeted therapies, evidence of the existence of a long-term survival subpopulation of cancer patients is appearing. We have studied an unselected population with advanced lung cancer to look for evidence of multimodality in survival distribution, and estimate the proportion of long-term survivors.MethodsWe used survival data of 4944 patients with non-small-cell lung cancer (NSCLC) stages IIIb-IV at diagnostic, registered in the National Cancer Registry of Cuba (NCRC) between January 1998 and December 2006. We fitted one-compon

Продольные траектории цифровых когнитивных биомаркеров для множественных склерозов.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Когнитивное повреждение - это one - наиболее распространенные и изнурительные симптомы повторного излучаемого множественным склерозом (RRMS). Цифровые когнитивные биомаркеры требуют меньше времени и ресурсов и быстро набирают популярность в клинических условиях. Мы изучили продольную траекторию испытания на скорость обработки на основе iPad (PST) и прогнозы значений PST. Мы, вероятно, зачислили пациентов из RRMS между 2017 и 2021 по всему району six Австралийские центры НР. Продольные данные анализировались с помощью моделей смешанного воздействия и скрытых моделей смеша

Convenient Access to Expert-Reviewed Health Information via an Alexa Voice Assistant Skill for Patients With Multiple Myeloma: Development Study.

BackgroundPatients with multiple myeloma (MM) have high information needs due to the complexity of the disease and variety of treatments. Digital voice assistants provide support in daily life and can be a convenient tool that even older patients can use to access health information. Voice assistants may therefore be useful in providing digital health services to meet the information needs of patients with MM.ObjectiveWe aim to describe and report on the development, content, and functionality of the first Amazon Alexa voice assistant skill for patients with MM in Germany with the goal of empo