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Voices of Survivorship: The Unmet Needs of Italian Cancer Survivors. A Qualitative Study.

BackgroundThe increasing number of cancer survivors (CSs) globally highlights the critical need for healthcare systems to address their unmet needs. These needs span physical, psychosocial, spiritual, informational, and practical dimensions and, if unaddressed, can impact quality of life and healthcare satisfaction.AimsThis study aimed to identify and understand the unmet needs of CSs in Italy to guide the development of patient-centered survivorship care services.MethodsA cross-sectional qualitative study was conducted between April 2023 and January 2024 at the Comprehensive Cancer Centre of

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… In other words, healthcare providers must treat patients with empathy and sensitivity, dedicating time to listening to their concerns and fears and providing necessary support, thereby enhancing their overall well‐being and recovery. …

Молекулярная и клеточная основа физиологических изменений беременности и ее последствий для нейрологовых и офтальмических патологий.

Беременность олицетворяет глубокие неврологические, гормональные и анатомические преобразования в материнском мозге, подготавливая их к уходу и сближению младенцев. Нейроимация свидетельствует о таких структурных изменениях, как сокращение содержания серых веществ и реорганизация белых веществ во время беременности, за которыми следует частичное послеродовое выздоровление. Эти адаптации модернизируются изменяющимися уровнями эстрадиола, прогестерона, пролактина и окситоцина, которые координируют нейропластичность и поведенческий уровень готовности. На молекулярном и клеточном уровнях гормоны б

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… Structural remodeling—including gray matter reduction, white matter enhancement, and neurogenesis—occurs across key brain regions involved in empathy, motivation, and attachment. …

Multisite Quality Improvement Initiative to Identify and Address Racial Disparities and Deficiencies in Delivering Equitable, Patient-Centered Care for Multiple Myeloma-Exploring the Differences between Academic and Community Oncology Centers.

Treatment of multiple myeloma (MM) is complex; however, with equal access to care, clinical outcomes for Black patients match those in other patient groups. To reveal and begin to address clinical practice barriers to equitable, patient-centered MM care, this quality improvement (QI) initiative assessed patient electronic medical records (EMRs) and surveyed patients and providers at two large hospital systems and four community-based practices. For the educational intervention, providers participated in feedback-focused grand rounds sessions to reflect on system barriers and develop action pla

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… Education about MM and treatment options | -- | 34% | 16% Better provision of a translator/educational materials provided in my first language | -- | 26% | 4% Discussion about realistic treatment expectations and prognosis | -- | 28% | 24% Empathy throughout the emotional journey of managing my MM | …

Integrating Quality of Life in the Care Pathway of Cancer Patients Undergoing Immunotherapy Treatment: Descriptive, Cross-sectional Survey of an Online Patient Community's Experiences and Expectations.

BackgroundNew cancer treatments, such as immune checkpoint inhibitors (ICIs), can improve survival and health-related quality of life (HRQoL) in patients with cancer. Although long-term monitoring of HRQoL has been shown to improve survival, integration of HRQoL into everyday practice remains poorly documented.ObjectiveThis study describes experiences and expectations of patients treated with ICIs regarding a discussion of HRQoL with health care professionals (HCPs) in cancer management.MethodsThis cross-sectional study was conducted in an online patient community (Carenity) in France. Patient

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… Reasons for dissatisfaction were insufficient time available for discussing HRQoL (9/17, 53%), a lack of information and explanations provided by the HCP (5/17, 29%), and a lack of empathy on the part of the HCP (4/17, 24%). …

Навигация Прогнозного диалога во время серьёзных болезнетворных споров.

ВАЖНОСТЬ: Двойное осознание, способность жить конструктивно, готовясь к концу жизни, имеет ключевое значение для разговоров о серьезных заболеваниях. В гематологии прогнозируемая неопределенность и ожидания новых методов лечения часто задерживают прогнозируемый диалог, ограничивая возможности для развития у пациентов и лиц, обеспечивающих уход, двойного понимания. ЦЕЛЬ: Изучение вопроса о том, каким образом пациенты, те, кто ухаживает за больными, и гематологические врачи, обученные разговорам о серьезных заболеваниях, ведут перспективный диалог и как это может способствовать двойному осознани

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… A meta-analysis of 11 trials shows that communication training improves clinicians’ empathy and emotional communication. 34 Additionally, a study of communication skills training for hospital oncology and hematology physicians (n = 19) highlights how specialty-specific attitudes and beliefs shape engagement …

Exploring motivations of peer supporters for caregivers of patients with hematological malignancies-a qualitative study.

PurposeSocial support interventions, particularly peer support from former family caregivers, offer unique assistance to caregivers of newly diagnosed patients. Since voluntary peer support is driven by personal choice, understanding the motivations for participating and how motivation evolves over time is essential. This study explores the motivations for becoming a peer support provider for family caregivers of patients with hematological malignancies and how motivation changes over time.MethodsThis qualitative study encompasses 18 semi-structured interviews with family caregivers providing

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… Drawing from these personal insights, they were motivated to engage in their role, striving to provide impartial support, genuine empathy, and meaningful assistance to fellow caregivers. Some people prefer not to burden those closest to them because they already have enough on their plate. …

End-of-life Care Experience of Home-Based Hospice Nurses

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… (Participant 2) 2) Burnout due to multiple roles The participants experienced accumulated emotional burnout and empathy fatigue in the process of repeatedly facing the sadness of patients and their families. …

Fostering next generation transplant physicians.

As opposed to the rapid expansion of hematopoietic cell transplantation (HCT) and other cellular therapies (CT), we are now facing a global shortage of transplant physicians and other professionals to support the activity of HCT/CT. To overcome this obstacle, a variety of approaches are now being undertaken in four international HCT societies. This article aims to share their current attempts to foster the next generation of transplant physicians and allied professionals needed to secure the continued global growth of HCT/CT.

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… As such, training programs for future HCT physicians must emphasize the importance of patient-centered care, empathy, and effective communication. Effective communication is a skill that transcends clinical expertise. …

Взгляд румынских пациентов на непрерывную терапию миеломы.

UNLABELLED: В последние годы изменилась парадигма лечения множественной миэломы (ММ), поскольку непрерывная терапия становится стандартом ухода за вновь диагностированными и рецидивированными пациентами. Хотя не вызывает сомнений тот факт, что непрерывная терапия принесла большую пользу как без прогрессирования, так и с точки зрения общего выживания, до сих пор не ясно, какова точка зрения пациентов на этот терапевтический подход. МЕТОДЫ: Это исследование включало в себя 155 Взрослые пациенты ММ из Клинического института Фундэни в Румынии получают непрерывную терапию с помощью дратумумаба, про

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… Studies have shown that higher ratings of empathy from cancer patients correlate with greater patient satisfaction and reduced emotional distress [ 12 , 13 , 33 , 34 ]. In our study, almost half of the patients consider that the frequent contact with their physician is psychologically comforting. …

Evaluation of Quality of Life and Care Needs of Turkish Patients Undergoing Hematopoietic Stem Cell Transplantation.

This descriptive study explored the quality of life and care needs of Turkish patients who underwent hematopoietic stem cell transplantation. The study sample consisted of 100 hematopoietic stem cell transplant patients. Their quality of life was assessed using Functional Assessment of Cancer Therapy-Bone Marrow Transplant Scale. The mean patient age was 44.99 ± 13.92 years. Changes in sexual functions, loss of hair, loss of taste, loss of appetite, and sleep disturbances were the most common symptoms. The quality of life of transplant patients was moderately affected; the functional well-bein

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… They stated that safety, empathy, and encouragement during the treatment and care provided by the medical and nursing staff were important. …

Hope and Acceptance at the End of Life: Impact of Spirituality on Patients in Palliative Care.

IntroductionPalliative care aims to improve the quality of life of patients with serious illnesses. In this type of care, spirituality is placed alongside other dimensions: physical, psychological, and social. The end of life brings confrontation with dilemmas such as "none of this makes sense" or "was it worth it?" The acceptance or rejection of the journey presents spirituality as a dimension that accompanies the person in their existence. Interventions that allow for a review of life help facilitate reflection on regrets, unresolved issues, and an understanding of the legacy that generates

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… The holistic approach in medicine, particularly in the context of palliative home care teams, which evaluates the person as a whole, promotes greater acceptance and empathy, and allows patients' spiritual needs to be addressed and understood [ 14 ]. …

Design and development of a disease-specific quality of life tool for patients with aplastic anaemia and/or paroxysmal nocturnal haemoglobinuria (QLQ-AA/PNH)-a report on phase III.

To date, instruments to measure quality of life (QoL) specifically for patients with acquired aplastic anaemia (AA) and paroxysmal nocturnal haemoglobinuria (PNH) are lacking altogether. As a consequence, this issue is either underevaluated or alternatively, instruments originally designed for cancer patients are being used. We therefore started to systematically develop a AA/PNH-specific QoL (QLQ-AA/PNH) instrument in these ultra-rare diseases according to European Organisation for Research and Treatment of Cancer (EORTC) guidelines. While phases I and II of the process have previously been p

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… | 2.3 | 1 | 0.45 | 0 | 0.53 | 1 | 1 to 4 | 1 | 0.00 | 1 | 0.02 | 1 | 0.98 | 1 | 0.02 | 1 | 1 | Delete, because not clear enough s45 | Has empathy of friends and family helped you? …

A qualitative study on blood and marrow transplant recipients' perceptions of health professional roles following BMT and preferences for ongoing care.

PurposeSurvivors of blood and marrow transplantation (BMT) require life-long follow-up involving both tertiary transplant and primary care services. This paper explores the attitudes and preferences of BMT survivors and their carers regarding the transition from BMT centre care to primary care.MethodsThis qualitative study involved semi-structured interviews with BMT survivors and carers from New South Wales, Australia. Interviews were audio-recorded, transcribed verbatim and thematically analysed.ResultsTwenty-two BMT survivors and six carers were interviewed. Two themes emerged: (1) 'Relatio

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… These challenges were made all the more difficult by the perception of BMT survivors who thought that their BMT team lacked sufficient understanding of the burden of long-term care and rarely expressed empathy with them. …

INPART - a psycho-oncological intervention for partners of patients with haemato-oncological disease - study protocol.

BackgroundSuffering from cancer confronts both the patient and their partner with a number of psychosocial challenges in various aspects of their life. These challenges may differentially impact on quality of life, coping ability and compliance to treatment. This especially holds true for haemato-oncological diseases. To date, psychological interventions have predominantly been developed for oncological patients however specific interventions for partners of haemato-oncological patients are rare. In this study we aim to conduct a psycho-oncological group-intervention for partners of patients w

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… ‘I show empathy and understanding’, delegated DC e.g. ‘I take on things that my partner would normally do in order to help him/her out’, negative DC e.g. ‘I blame my partner for not coping well enough with stress’, and stress communication e.g. …

Strategies for promoting exercise adherence within a cancer exercise recovery program: a qualitative case study.

BACKGROUND: Physical activity (PA) plays an important role in physical health and well-being for cancer survivors. However, cancer survivors demonstrate low adherence to cancer PA guidelines. Research is needed to understand how to optimize delivery of cancer PA programs to enhance participation and adherence. In this study, we conducted an instrumental qualitative case study of a clinical cancer exercise recovery program (CERP) demonstrating high adherence (over 90% session completion), with the goal of understanding implementation strategies that patients link to higher program adherence. ME

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… Working with trainers who have prior experience with cancer survivors was identified as essential as patients felt these trainers would “[understand] psychologically what’s going on” (Paul) and have more empathy that would avoid “stupid conversations” (Jo). …

Combined Immune Defect in B-Cell Lymphoproliferative Disorders Is Associated with Severe Infection and Cancer Progression.

B cell chronic lymphoproliferative diseases (B-CLPD) are associated with secondary antibody deficiency and other innate and adaptive immune defects, whose impact on infectious risk has not been systematically addressed. We performed an immunological analysis of a cohort of 83 B-CLPD patients with recurrent and/or severe infections to ascertain the clinical relevance of the immune deficiency expression. B-cell defects were present in all patients. Patients with combined immune defect had a 3.69-fold higher risk for severe infection (p = 0.001) than those with predominantly antibody defect. Inte

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… Multicenter Study for the Evaluation of the Antibody Response against Salmonella Typhi Vi Vaccination (EMPATHY) for the Diagnosis of Anti-Polysaccharide Antibody Production Deficiency in Patients with Primary Immunodeficiency Clin. Immunol. 2016 169 80 84 10.1016/j.clim.2016.05.006 27236002 39. …

Беспокойство и депрессия у пациентов, у которых недавно диагностировали лимфому и миэлому.

Несмотря на то, что лимфома и миэлома создают физическое и психологическое бремя, данные о тревожности и симптомах депрессии у затронутых пациентов ограничены. Мы провели обследование в июле 2021 и сентябрь 2022 для характеристики тревоги и депрессии в группе взрослых пациентов, внутри 6 месяцев лимфомы или миэломы диагноза. Клинически значимая тревога и симптомы депрессии были определены как десятки ≥8 о соответствующих подмасштабах шкалы больничных тревог и депрессии. Мы провели оценку социально-демографических факторов, связанных с симптомами тревоги/депрессии, и проанализировали взаимосвяз

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… tangible help (eg, help with chores, meals, and travel to appointments) can bolster patients’ ability to cope adaptively with cancer. 35 Indeed, a study of patients diagnosed with cancer demonstrated that patients expressed strong desire for several elements of social support, including companionship, empathy …

Знания, отношение и практика в отношении множественной миеломы среди медицинского персонала в регионе Энши.

Исследование в районе Энши между Сент-Новым 2023 Оценивая знания, отношение и практику медицинского персонала в отношении множественной миеломы. Это заболевание оказывает значительное воздействие на физическое здоровье, качество жизни и психическое здоровье. Медицинские работники играют важнейшую роль в его профилактике и лечении. При анализе использовались корреляция Пирсона, логистическая регрессия и модель структурных уравнений (SEM). Всего 229 действительные вопросники были собраны вместе с 68.6% :: женщин-участников и 42.4% возраст 31-40 Годы. Знания, отношение и практические оценки 36.27

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… Additionally, medical staff’s mental support and empathy can significantly impact patients’ mental health, fostering positive outlook and effective coping mechanisms. …

Compassionate Communication and Advance Care Planning to improve End-of-life Care in Treatment of Haematological Disease 'ACT': Study Protocol for a Cluster-randomized trial.

IntroductionTo support the implementation of advance care planning and serious illness conversations in haematology, a previously developed conversation intervention titled 'Advance Consultations Concerning your Life and Treatment' (ACT) was found feasible. This study aims to investigate the effect of ACT on the quality of end-of-life care in patients with haematological malignancy and their informal caregivers.Methods and analysisThe study is a nationwide 2-arm cluster randomised trial randomising 40 physician-nurse clusters across seven haematological departments in Denmark to provide standa

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… Moreover, ACT improved patient–caregiver communication regarding EOL preferences, increased empathy in clinician communication and helped patients prioritise life with serious illness. 39 Aim This study aims to evaluate the effect of the ACT intervention on the quality of EOL care for patients with …

Obesity as a Multifactorial Chronic Disease: Molecular Mechanisms, Systemic Impact, and Emerging Digital Interventions.

Obesity is a multifactorial chronic disease resulting from complex genetic, molecular, environmental, and behavioral interactions. Its prevalence rises worldwide, affecting cardiovascular, metabolic, oncological, hepatic, respiratory, and skeletal health. Beyond caloric excess, genetic predisposition, epigenetic modifications, gut microbiota dysbiosis, endocrine-disrupting agents, circadian misalignment, and intergenerational and prenatal influences are critical determinants of obesity risk. Core pathophysiological mechanisms include insulin resistance, dyslipidemia, chronic low-grade inflamma