Результаты поиска

Обзор вариантов орального лечения для управления сфинктером-диссинергией.

Нейрогенная дисфункция нижних мочевых путей может быть связана с дисфункцией детрусора сфинктера диссинергии (DSD). С учетом сложности литературы и отсутствия официальных руководящих принципов, касающихся использования пероральных препаратов при управлении ОСБ, цель этого аналитического обзора заключается в критической оценке имеющихся данных, которыми можно было бы руководствоваться в будущих исследованиях и практике. 1950 по июль 2023 с использованием баз данных PubMed, MedLine, Scopus и CINAHL для оценки всех вариантов орального лечения для DSD. В него были включены все проекты исследований

Harmonising Hope: Impact of Music Therapy on Cancer Pain and Palliative Care.

ObjectivesMusic therapy can be a harmonising hope for cancer patients under palliative care to overcome fear, anxiety, anger, depression, pain and the range of emotional responses. Music therapists contribute to a comprehensive approach to providing holistic, patient-centred care to mainstream medical treatment. Hence, the study aims to understand the clinical impact of music therapy in cancer pain and palliative care.Materials and methodsAfter approval from the Institutional Review Committee and getting informed consent, a total of 102 individual music therapy sessions were conducted for 43 p

Unlocking the therapeutic potential of cellular mechanobiology.

Mechanobiology is a rapidly advancing field at the intersection of biology, physics, and engineering that reveals how mechanical forces shape cellular behavior, tissue architecture, and disease progression. By elucidating how cells sense and transduce mechanical cues, mechanobiology has fundamentally advanced our understanding of processes ranging from migration and differentiation to immune responses and tissue remodeling. These advances have driven the development of innovative biophysical tools and engineered biomaterials that enable precise modulation of the cellular microenvironment. Tran

Digital art therapy for emotional well-being in adults with cancer: A scoping review of digital health interventions.

BackgroundEmotional distress, anxiety, and depressive symptoms are highly prevalent among adults with cancer. Digital art therapy (DAT), encompassing immersive, musical, visual, and narrative digital modalities, has emerged as a potential approach to expand access to creative psychosocial interventions; however, the evidence base remains fragmented and methodologically heterogeneous.ObjectiveThis scoping review aimed to map the characteristics, digital design features, and reported psychosocial outcomes of DAT interventions targeting anxiety and depression in adults with cancer.MethodsA scopin

Сравнительное воздействие мер, принимаемых на основе пилатесов, на функциональную мобильность, сбалансированность, усталость и качество жизни людей с множественным склерозом: систематический обзор и сетевой метаанализ.

ЦЕЛЬ: Упражнения на основе пилатеса привлекли внимание в качестве нефармакологической стратегии реабилитации лиц с множественным склерозом (МС), однако сравнительная эффективность различных методов пилатесов остается неопределенной. Этот систематический обзор и сетевой метаанализ позволили оценить и ранжировать на основе пилатеса мероприятия, направленные на обеспечение функциональной мобильности, сбалансированности, ходьбы, усталости и качества жизни взрослых с НР. МЕТОДЫ: В период с момента создания и по октябрь проводились обыски PubMed, Scopus, Web of Science и Cochrane Central Register of

Unilateral Biportal Endoscopy for Lumbar Spinal Stenosis and Lumbar Disc Herniation.

BACKGROUND: Unilateral biportal endoscopy (UBE) is a novel minimally invasive technique for the treatment of lumbar spinal stenosis and lumbar disc herniations. Uniportal endoscopy was utilized prior to the advent of UBE and has been considered the workhorse of endoscopic spine surgery (ESS) for lumbar discectomy and decompressive laminectomy. However, there are theoretical advantages to UBE compared with traditional uniportal endoscopy, including that the procedure utilizes typical spinal equipment that should be readily available, requires less capital cost and optical instrumentation, and p

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

Combined Treatment With Cognitive Behavioral Therapy for Insomnia and Acceptance and Commitment Therapy Enhances Objective and Subjective Reports of Sleep in Patients With Advanced Cancer.

BACKGROUND: Sleep difficulties are common for people with advanced cancer and are associated with poorer mood, lower quality of life, and reduced survival. For these patients, insomnia severity ratings are tied to nighttime awakenings, but little is known about the reasons for awakenings. AIMS: This study reports actigraphy sleep outcomes, longitudinal self-reported insomnia severity, and circadian rhythm disruptions from a randomized pilot study comparing a multi-symptom intervention with a wait-list control group for people with advanced cancer. METHODS: Twenty-eight people with advanced c

Influence of anticancer agents on sexual function: An in vivo study based on the US FDA Adverse Event Reporting System.

BackgroundPatients with cancer are treated with chemotherapeutics that cause adverse effects, including erectile dysfunction (ED).ObjectivesWe investigated erectile function in rats after the administration of anticancer agents based on data retrieved through mining of the US Food and Drug Administration (FDA) Adverse Event Reporting System (AERS) database.Materials and methodsThe statistical signal strength for the association between anticancer drugs and ED was calculated using the reporting odds ratio (ROR). A drug-event combination was detected when the lower limit of the 95% confidence in

Development of a Mindfulness-Based Stress Reduction Program for Hematologic Malignancy Patients: A Delphi Study.

PurposeHematologic malignancies (HM) are a group of malignant clonal diseases that pose significant treatment challenges and adversely impact patient survival and quality of life. This study aimed to develop a Mindfulness-Based Stress Reduction (MBSR) program specifically for HM patients and to refine it for application in China.Patients and methodsA research team comprised of nursing directors, psychology experts, and other professionals was established, and then a literature review was conducted to assemble information needed to develop the MBSR intervention protocol. Following this, a Delph

Наличие медленно расширяющихся повреждений в множестве склероза предсказывает прогрессивное демиэлирование в пределах повреждений и нормального образования тканей с течением времени.

Множественные склерозы (MS) медленно расширяющиеся повреждения (SELs) определяются магнитно-резонансными изображениями (MRI) как прилегающие районы ранее существовавших фокусных неконтражных повреждений Т2 с постоянным и концентрическим расширением на традиционных участках T1-weighted и T2-weighted Изображение. СЭЛ связаны с повышенным риском развития инвалидности. МЕТОДЫ: Изменения, связанные с миелином, которые были обнаружены с использованием миелинской доли воды (MWF) и коэффициента переноса магнитизации (MTR) в SELs и повреждениях Т2, были измерены поверх них. 192 неделями в составе участ

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

The advancement and utility of multimodal imaging in the diagnosis of degenerative disc disease.

Degenerative disc disease (DDD) is a common spinal condition characterized by the deterioration of intervertebral discs, leading to chronic back pain and reduced mobility. While magnetic resonance imaging (MRI) has long been the standard for late-stage DDD diagnosis, its limitations in early-stage detection prompt the exploration of advanced imaging methods. Positron emission tomography/computed tomography (PET/CT) using 18F- fluorodeoxyglucose (FDG) and 18F-sodium fluoride (NaF) has shown promise in identifying metabolic imbalances and age-related spinal degeneration, thereby complementing CT

Преобразование серых изображений МРТ в цвет с использованием искусственного интеллекта для лучшего понимания множественного склероза.

Множественный склероз (MS) относится к спектру заболеваний центральной нервной системы (ЦНС), демиелинизирующих болезни, которые могут привести к постоянной неврологической неполноценности. Основополагающее значение для диагностики и клинического наблюдения имеет магнитно-резонансная съемка (MRI), которая позволяет идентифицировать Т2-гиперинтенсивности, связанные с аутоиммунными повреждениями, которые демонстрируют различные модели пространственного распределения. Здесь мы описываем клинический опыт 31-летнего, правша, белого человека, который был замечен в консультации в Юго-западном медицин

Differentiated resistance training of the paravertebral muscles in patients with unstable spinal bone metastasis under concomitant radiotherapy: study protocol for a randomized pilot trial.

BACKGROUND: Metastatic bone disease is a common and severe complication in patients with advanced cancer. Radiotherapy (RT) has long been established as an effective local treatment for metastatic bone disorder. This study assesses the effects of RT combined with muscle-training exercises in patients with unstable bone metastases of the spinal column from solid tumors. The primary goal of this study is to evaluate the feasibility of muscle-training exercises concomitant to RT. Secondly, quality of life, fatigue, overall and bone survival, and local control will be assessed. METHODS/DESIGN: Th

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

Nurse-Led Interventions and Outcomes in Adult Hematopoietic Stem Cell Transplant Recipients: A Scoping Review.

Background/Objectives: Hematopoietic cell transplantation (HCT) is increasingly used to treat malignant and non-malignant hematologic diseases and is associated with complex physical, psychological, and informational needs. Nurses play a central role in HCT care; however, the range, characteristics, and reported outcomes of nurse-led interventions have not been comprehensively synthesized. This review aimed to identify the types and outcomes of nurse-led interventions in adult HCT recipients and highlight gaps in evidence. Methods: The review was initially registered as a systematic review and

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… Lu et al. (2016) tested healing touch and relaxation therapy, which were highly acceptable and produced small benefits in outcomes such as length of hospital stay but not in mood or overall quality of life [ 25 ]. … Effects of healing touch and relaxation therapy on adult patients undergoing hematopoietic stem cell transplant: A feasibility pilot study Cancer Nurs. 2016 39 E1 E11 10.1097/NCC.0000000000000272 26098401 26. Bryant A.L. Coffman E. Phillips B. Tan X. Bullard E. Hirschey R. Bradley J. Bennett A.V. …

Сочетание виртуальной реальности и гипноза? Исследование опыта работы с пациентами с множественной миеломой после трансплантации стволовых клеток.

Множественная миелома (ММ) и трансплантация стволовых клеток (ЦТ) оказывают значительное влияние на качество жизни пациентов. Виртуальная реальность с гипнозом (ОВГ) стала многообещающим нефармакологическим вмешательством для решения этих проблем, однако данных о ее приемлемости и опыте пользователей по-прежнему недостаточно. В ходе этого исследования была проведена оценка приемлемости и опыта использования ОВЗ среди взрослых пациентов с МИ, прошедших аллогенный СХТ. Участники использовали прикладную программу VRH и оценили свой опыт с помощью стандартизированных вопросников и полуструктуриров

Effects of Exercise Programs on Psychoemotional and Quality-of-Life Factors in Adult Patients with Cancer and Hematopoietic Stem Cell Transplantation or Bone Marrow Transplantation: A Systematic Review.

This review analyzed the effects of an exercise program on psychoemotional and quality-of-life (QoL) factors in adult patients with cancer and hematopoietic stem cell transplantation (HSCT) or bone marrow transplantation (BMT). Studies were identified from the PubMed and Web of Science databases (from inception to 24 August 2022), according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. The methodological quality of the included studies was assessed with the Physiotherapy Evidence Database (PEDro) scale, based in turn on the Delphi list. A total o

Опыт, накопленный пациентами в ходе видеоконференций: качественный систематический обзор.

Консультация Video (VC) приобрела жизненно важное значение для улучшения доступа к медицинскому обслуживанию во время пандемии COVID-19 и остается таковой. Несмотря на доказательства эффективности, проблемы, включая технологическую грамотность и несоответствия в опыте, указывают на необходимость проведения более широких исследований, ориентированных на пациентов. Несмотря на то, что пациенты ценят удобство ВК, проблемы, возникающие во время сложных проблем и предпочтения пациентов в плане личного ухода, сохраняются. Обобщение качественных исследований дает представление о фрагментированном пон