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When Cancer Is the Self: An Interpretive Description of the Experience of Identity by Hematology Cancer Patients.

BackgroundThe term "cancer" is imbued with identity signals that trigger certain assumed sociocultural responses. Clinical practice with hematological cancer patients suggests the experience of these patients may be different than that of solid tumor cancer patients.ObjectiveWe sought to explore the research question: How are identity experiences described and elucidated by adult hematological cancer patients?MethodsThis qualitative study was guided by interpretive description as the methodological framework.ResultsPreexisting identity labels and assumptions assigned to the overarching "cancer

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… One participant described how, during treatment of lymphoma, he totally lost control over his own body: “So the night sweats and chills, which is really scary thing to happen to you where you get so hot and then you are instantly frozen cold, and you are just uncontrollably shivering and shaking. …

Benefits of Chimeric Antigen Receptor T-Cell Therapy for B-Cell Lymphoma.

Objective: The aim was to study the benefits and risks of anti-CD19 chimeric antigen receptor (CAR) T-cells in adults with B-cell lymphoma. Methods: From October 2015 to October 2021, we treated five patients with B-cell lymphoma, comprising two with mantle cell lymphoma, one case of Burkitt lymphoma, one case of diffuse large B-cell lymphoma, and one case of chronic lymphocytic leukemia/small lymphocytic lymphoma. The patients were given the FC regimen 5 days before the infusion of anti-CD19 CAR T-cells. The median total number of CAR T-cells infusions was 350*10^6 (88*10^6-585*10^6). Results

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… The patients of Case 4 and Case 5, who had MRD eliminated and maintained therapy, did not have CRS ( Table 1 ). 4.1.1 Fever All CRS patients had chills and fever. …

CeRNA Expression Profiling Identifies KIT-Related circRNA-miRNA-mRNA Networks in Gastrointestinal Stromal Tumour.

Gastrointestinal stromal tumours (GISTs) are the most common human sarcomas and are typically located in the stomach or small intestine. Although circular RNAs (circRNAs) reportedly play vital roles in tumour oncogenesis and progression, the molecular basis of the aggressive tumour biology of these circRNAs in GISTs remains unclear. In this study, we applied SBC ceRNA microarrays to screen for tumour-specific circRNA profiles in GISTs and identified that a total of 5,770 circRNAs and 1,815 mRNAs were differentially expressed in GISTs. Three significantly differential circRNAs (circ_0069765, ci

Phase 1 dose-escalation study of IV ixazomib, an investigational proteasome inhibitor, in patients with relapsed/refractory lymphoma.

Ixazomib is an investigational proteasome inhibitor that has shown preclinical activity in lymphoma models. This phase 1 study assessed the safety, tolerability, maximum tolerated dose (MTD), pharmacokinetics, pharmacodynamics and preliminary activity of intravenous (IV) ixazomib in relapsed/refractory lymphoma patients who had received ⩾ 2 prior therapies. Thirty patients with a range of histologies received ixazomib 0.125-3.11 mg/m(2) on days 1, 8 and 15 of 28-day cycles. Patients received a median of two cycles (range 1-36). MTD was determined to be 2.34 mg/m(2). Most common drug-related ad

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… 8 (27) Thrombocytopenia | 1 | 2 | 2 | 2 | 1 | 8 (27) Vomiting | 0 | 0 | 4 | 1 | 3 | 8 (27) Decreased appetite | 1 | 1 | 1 | 0 | 3 | 6 (20) Headache | 2 | 0 | 2 | 1 | 1 | 6 (20) Neutropenia | 0 | 1 | 1 | 3 | 1 | 6 (20) Abdominal pain | 0 | 0 | 1 | 2 | 2 | 5 (17) Pyrexia | 0 | 0 | 3 | 2 | 0 | 5 (17) Chills …

Profile of elotuzumab and its potential in the treatment of multiple myeloma.

Although the introduction of novel drugs has improved outcome significantly in multiple myeloma (MM), many patients still eventually relapse. Monoclonal antibodies (mAbs) targeting MM-related antigens can complement currently available therapies. CS1 (also known as CD2 subunit 1, SLAMF7, CD319, and CRACC), a cell surface glycoprotein receptor that is a member of the signaling lymphocytic activation molecule (SLAM) family, is highly and nearly uniformly expressed in myeloma cells at the gene and protein level, but not expressed in other tissues, including hematopoietic stem cells, making CS1 a

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… relapsed/refractory MM (≥2 prior therapies, median 4.5), no maximum tolerated dose (MTD) was identified up to the maximum planned dose of 20 mg/kg. 21 Toxicities were acceptable; the frequent treatment-related adverse events (AEs) are mostly due to infusion reactions, and mostly grade 1 to 2, including chills …

TrkA abundance is increased in cutaneous nerves in bortezomib-induced neuropathy.

Tropomyosin receptor kinase A (TrkA), a high-affinity receptor for nerve growth factor (NGF), is implicated in nociception and local angiogenesis. We investigated TrkA localization and abundance in skin biopsies from multiple myeloma patients who developed peripheral neuropathy during bortezomib treatment. We recruited 50 multiple myeloma patients with bortezomib-induced peripheral neuropathy (BIPN), including 31 without pain and 19 with pain, and 27 matched healthy controls at University Hospital Würzburg (2021-2024). Skin biopsies from the distal leg were analyzed to determine intraepidermal

Machine learning-based prognostic model for bloodstream infections in hematological malignancies using Th1/Th2 cytokines.

OBJECTIVE: Bloodstream infection (BSI) is a significant cause of mortality in patients with hematologic malignancies(HMs), particularly amid rising antibiotic resistance. This study aimed to analyze pathogen distribution, drug-resistance patterns and develop a novel predictive model for 30-day mortality in HM patients with BSIs. METHODS: A retrospective analysis of 231 HM patients with positive blood cultures was conducted. Logistic regression identified risk factors for 30-day mortality. Th1/Th2 cytokines were collected at BSI onset, with LASSO regression and restricted cubic spline analysis

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… Definitions Patients with positive blood culture (excluding pollution) who had a fever (> 38 °C) and at least one of the following symptoms: chills, low oxygen saturation, hypotension, cold moist limbs, or altered consciousness, were identified as true BSI [ 28 ]. …

Babesia microti-induced fulminant sepsis in an immunocompromised host: A case report and the case-specific literature review.

Babesia microti is an obligate intra-erythrocytic parasite transmitted by infected ticks. B. microti is a eukaryote much larger than prokaryotic microbes and more similar to human hosts in their biochemistry and metabolism. Moreover, Babesia spp. possess various immune evasion mechanisms leading to persistent and sometimes life-threatening diseases in immunocompromised hosts. Chronic lymphocytic leukemia (CLL) is the most prevalent adult B-cell malignancy, and a small percentage of CLL transforms into aggressive lymphomas. CLL also causes immune dysfunction due to the over-expansion of immatur

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… In the middle of February 2020, the patient developed shaking chills, acute respiratory distress syndrome, and delirium. He was transferred to the emergency department (ED) at the local hospital. …

Phase I studies of AZD1208, a proviral integration Moloney virus kinase inhibitor in solid and haematological cancers.

BackgroundProviral integration Moloney virus (PIM) kinases (PIM1, 2 and 3) are overexpressed in several tumour types and contribute to oncogenesis. AZD1208 is a potent ATP-competitive PIM kinase inhibitor investigated in patients with recurrent or refractory acute myeloid leukaemia (AML) or advanced solid tumours.MethodsTwo dose-escalation studies were performed to evaluate the safety and tolerability, and to define the maximum tolerated dose (MTD), of AZD1208 in AML and solid tumours. Secondary objectives were to evaluate the pharmacokinetics, pharmacodynamics (PD) and preliminary efficacy of

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… appetite | 0 | 1 (16.7) | 0 | 2 (28.6) | 1 (11.1) | 4 (12.5) General disorders Fatigue | 1 (25.0) | 1 (16.7) | 4 (66.7) | 2 (28.6) | 2 (22.2) | 10 (31.3) Oedema peripheral | 1 (25.0) | 1 (16.7) | 3 (50.0) | 2 (28.6) | 2 (22.2) | 9 (28.1) Asthenia | 1 (25.0) | 0 | 1 (16.7) | 1 (14.3) | 2 (22.2) | 5 (15.6) Chills …

Bispecific antibodies in the treatment of epithelial ovarian, endometrial, and cervical cancer: an overview of current applications, challenges, and emerging opportunities.

Gynecological cancer remains one of the leading causes of mortality worldwide. Recent advances in genomic and molecular sequencing have significantly enhanced our understanding of the biological pathways that drive tumor progression and resistance to therapy. Targeted therapies, including monoclonal antibodies (mAbs), have revolutionized cancer treatment by selectively interfering with oncogenic proteins expressed on cancer cells. However, the long-term clinical benefit is often limited due to the emergence of drug resistance, frequently mediated by compensatory signaling pathways or immune es

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… IFN-γ contributes to fever, chills, and fatigue; IL-6 is involved in hypotension and capillary leak; TNF-α is linked to gastrointestinal symptoms and lung injury. Typically, CRS occurs within 48 h after the first dose of bsAb and tends to lessen in later cycles [ 131 ]. … Symptoms include chills, difficulty breathing, flushing, nausea, chest discomfort, and vomiting. These reactions are usually self-limiting and manageable with supportive care, such as antihistamines, corticosteroids, pain relievers, oxygen, and H2 antagonists. …

The progress of novel strategies on immune-based therapy in relapsed or refractory diffuse large B-cell lymphoma.

Diffuse large B-cell lymphoma (DLBCL) can be cured with standard front-line immunochemotherapy, whereas nearly 30-40% of patients experience refractory or relapse. For several decades, the standard treatment strategy for fit relapsed/refractory (R/R) DLBCL patients has been high-dose chemotherapy followed by autologous hematopoietic stem cell transplant (auto-SCT). However, the patients who failed in salvage treatment or those ineligible for subsequent auto-SCT have dismal outcomes. Several immune-based therapies have been developed, including monoclonal antibodies, antibody-drug conjugates, b

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… Overall toxicity included pyrexia, CRS, and chills, most commonly, with over 7% of patients experiencing grade 3 or higher CRS and 2.3% of patients suffering from neurologic toxicity [ 39 ]. …

The role of carfilzomib in relapsed/refractory multiple myeloma.

Carfilzomib is the second proteasome inhibitor approved for relapsed multiple myeloma. Since its approval in 2012, carfilzomib has been an active and versatile drug, based on its efficacy as a single agent; superiority as a doublet with dexamethasone compared with bortezomib and dexamethasone; and as a partner in diverse three drug combinations such as with lenalidomide or daratumumab. While it has an established place in relapsed disease, clinicians should be aware of its cardiovascular and renal adverse event profile, which is manageable, in order to optimize outcomes. This review will provi

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… “First dose” reactions with pyrexia, chills could be mitigated with a very low dose of dexamethasone, 4 mg, prior to each dose of carfilzomib in cycle 1. …

Role of zoledronic acid in the prevention and treatment of osteoporosis.

Taken once a year, intravenous zoledronic acid (Zol) (Reclast® or Aclasta®) is a third-generation nitrogen-containing bisphosphonate that is effective compared with placebo in reducing the risk of fractures in patients with postmenopausal osteoporosis and recent low-trauma hip fracture. In glucocorticoid-induced osteoporosis, there is no significant difference between Zol and risedronate for new fractures. Improvements in bone mineral density and early reduction of bone remodeling markers are observed in postmenopausal osteoporosis, recent low-trauma hip fracture, and glucocorticoid-induced os

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… such symptoms appear. 49 Adverse reactions Versus placebo The most common adverse events that occurred statistically more in Zol than in placebo patients were athralgias (23.8% vs 20.4%), pyrexia (17.9% vs 3.7%), flu-like symptoms (8.8% vs 2.7%), nausea (8.5% vs 5.2%), bone pain (5.8% vs 2.3%), and chills …

Biological and clinical basis for molecular studies of interferons.

The cytokine family of interferons (IFNs) has multiple functions, including antiviral, anti-tumor, and immunomodulatory effects and regulation of cell differentiation. The multiple functions of the IFN system are thought to be an innate defense against microbes and foreign substances. The IFN system consists first of cells that produce IFNs in response to viral infection or other foreign stimuli and second of cells that establish the antiviral state in response to IFNs. This process of innate immunity involves multiple signaling mechanisms and activation of various host genes. Viruses have evo

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… They include flu-like symptoms, such as fever, chills, fatigue, malaise, anorexia, headache, arthralgias, and myalgias. These symptoms diminish with repeated exposure and can be easily controlled with acetaminophen. …

Регулирование пациентов с реанимированными/реферантными миеломами, лечившимися с Талкетамабом: основные моменты из точки зрения фармацевтов.

Talquetamab — семейство рецепторов с белковым белком в классе G. 5 член D (GPRC5D) и CD3-targeting bi специфическая антитела с > 71% :: общее реагирование пациентов с рецидивной или рефрактной множественной миеломой, three другие виды наркотиков. GPRC5D сильно отражается на клетках миэломы, а также некоторое выражение в обычных волосатых фолликах, коже и языке. Его уникальное выражение на этих нормальных тканях приводит к явной структуре неблагоприятных явлений (АЭ), как это было отмечено на этапе I/II. MonumenTAL-1 суд. GPRC5D-related АО включали оральные побочные эффекты (например, дисгейсия

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… Pharmacist Experience and Perspective on CRS In MonumenTAL-1, inpatient admissions were required during initial step-up dosing and patient vitals were checked routinely (every 4 hours) to monitor for onset of CRS: fever, chills, hypotension, headache, elevated liver function tests, hypoxia, and/or signs …

Bisphosphonate Use in Acute Spinal Cord Injury: A Focused Systematic Review on Zoledronic Acid.

Spinal cord injury (SCI) causes significant bone loss as a long-term complication, increasing fracture risk and healthcare costs. Bisphosphonates are widely studied for mitigating bone loss since they can prevent fractures and preserve rehabilitation potential in acute SCI patients. Zoledronic acid, in particular, stands out due to its high potency, dosing convenience, and better patient adherence. This review aims to evaluate the efficacy of bisphosphonates, particularly zoledronic acid, in mitigating bone loss in acute SCI. A systematic review was conducted following the Preferred Reporting

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… Acute phase response (APR) is more frequent in intravenous formulations and is defined as a flu-like reaction, including fever, chills, headache, myalgia, fatigue, and arthralgia, beginning within three days of infusion [ 9 ]. …

Study protocol for developing a patient-reported outcome measure for infection screening in hematological patients with secondary immunodeficiency.

BACKGROUND: Patients with chronic lymphocytic leukemia (CLL) or multiple myeloma (MM) frequently develop secondary immunodeficiencies (SID), on the basis of both their respective disease, as well as immunosuppressive therapies, leading to increased infection risks and impaired health-related quality of life (HRQOL). While timely infection detection is essential, outpatient symptom monitoring remains challenging. Electronic patient-reported outcome (ePRO) tools have shown promise for real-time symptom monitoring, enhancing early detection and management. We describe a study protocol for develop

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… The item list covers problems with nose (e.g., runny or dry nose, 1 item), painful throat (2 items), shortness of breath (2 items), cough (2 items), headache (1 item), chills/shivering (2 items), urinary pain (1 item), vomiting (1 item), diarrhea (1 item), as well as additional items to assess if patients …

BATF2 является регулятором интерферона β, сигнализирующего в астроцитах во время нейроинфламмации.

Астроцитический интерферон (IFN) (IFN) (информация) связан с уменьшением нейроинфламмации; однако эффекторы вниз по течению, ответственные за регулирование этой защиты, неизвестны. Здесь мы идентифицируем удельный коэффициент транскрипции IFN, основной коэффициент транскрипции лейцина АТФ-подобный АТФ2, который играет ключевую роль в модулировании последствий ITFN, сигнализирующих в астроцитах. Последовательность иммунопреобразования Хроматина показала, что НИМФ2 связывает и предотвращает перевыражение регулятивных факторов IFN (IRF)1 и IRF1, таких как caspase-1. Мы также показываем, что мыши

Astragaloside II, природный садонин, облегчает ремимиэлирование в демиэлинговых неврологических заболеваниях с помощью рецептора P75NTR, опосредованного осью сигнала β-катенина/Id2/MBP в клетках-прекурсорах олигодендроцитов.

КОЛИЧЕСТВО: Демиелинация является отличительной чертой неврологических расстройств, таких, как множественный склероз и оптика нейромиелита, что приводит к неврологическим расстройствам. Существующая терапия в первую очередь модифицирует иммунную реакцию, но не позволяет напрямую содействовать ремонту миелина. Расширение дифференциации олигодендроцитов и производства олигодендроцитов (ООП) имеет решающее значение для восстановления целостности миелина.ЦЕЛИ: В рамках этого исследования изучался терапевтический потенциал астрагалосида II (AS-II), биоактивного садонина с нейрозащитными и продиффер

Hemophagocytic Lymphohistiocytosis (HLH) in Patients with Tick-Borne Illness: A Scoping Review of 98 Cases.

Hemophagocytic lymphohistiocytosis (HLH) secondary to tick-borne infections is a rare but potentially life-threatening syndrome. We performed a scoping review according to PRISMA guidelines to systematically analyze the existing literature on the topic. A total of 98 patients were included, with a mean age of 43.7 years, of which 64% were men. Most cases, 31%, were reported from the USA. Immunosuppression was present in 21.4%, with the most common cause being previous solid organ transplantation. Constitutional symptoms were the most common, observed in 83.7% of the patients, while fever was r

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… Constitutional symptoms were defined as chills, myalgia, asthenia, and fatigue. …