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Использование медицинских услуг перед педиатрическим множественным склерозом: демографическое исследование в Онтарио, Канада.

ИССЛЕДОВАНИЯ ПРОДРОМА В Множестве склерозов (МС) обычно включали взрослых. ЦЕЛЬ: Сопоставление показателей и причин использования услуг здравоохранения среди молодежи с НР и без него с учетом времени, отведенного по отношению к дате НР и рождению. МЕТОДЫ: В этом ретроспективном когортном исследовании использовались административные данные, основанные на демографических данных (см.1991-2020) из Онтарио, Канада. Мы подходили к молодости.<18 в год) с НР до 5::1 для молодежи, не имеющей НР, в разбивке по полу, году рождения, региону и продолжительности наблюдения (полные группы). В субкортах имели

The efficacy and safety of thalidomide in the treatment of refractory Crohn's disease in adults: a double-center, double-blind, randomized-controlled trial.

BACKGROUND: Thalidomide is applied in therapy for refractory Crohn's disease (CD) in adults, but systematic and rigorous clinical evidence is scant. The aim was to provide theoretical references for the efficacy of thalidomide in the therapy for refractory CD in adults. METHODS: A double-center, double-blind, placebo-controlled, randomized clinical trial of refractory CD in adults in two inflammatory bowel disease centers in China. In the double-blind trial, patients were randomly assigned to 100 mg of thalidomide or placebo daily for 8 weeks. The primary outcome was considered as the clinica

Osteoporosis Drug Treatment Update.

The Brazilian population is aging and the prevalence of chronic degenerative diseases, including osteoporosis, is increasing. The diagnosis and treatment of osteoporosis have made significant advances in the last decade. The orthopedist and traumatologist can no longer be detained only in the surgical treatment of osteoporotic fracture. It is extremely important that we know: 1) what risk factors to evaluate, and the Fracture Risk Assesment Tool (FRAX) can be used; 2) which complementary tests should be requested, such as densitometry, radiography of the spine and pelvis, blood and urine tests

Акушерская анестезия/анагезия не влияет на курс болезни при множественном склерозе: 10- Ретроспективное когортное исследование.

ЦЕЛИ: Множественный склероз (МС) часто встречается у молодых женщин, а воздействие акушерской анестезии/анагезии на болезнь плохо изучено. Ни одно из предыдущих исследований не было посвящено изучению состояния заболевания женщин, работающих в Чешской Республике. Цель этого исследования заключалась в оценке случаев или отсутствия рецидивов 6-month Послеродовый период в MS parturients с акушерской анестезией и без нее. МАТЕРИАЛЫ И МЕТОДЫ: Мы ретроспективно изучили все поставки (n = 58,455) в университетской больнице Брно 2004 в адрес 2013 и выявила женщин, имеющих ICD-10 код G35 (MS), зарегистр

Obesity definition, diagnosis, bias, standard operating procedures (SOPs), and telehealth: An Obesity Medicine Association (OMA) Clinical Practice Statement (CPS) 2022.

BackgroundThe Obesity Medicine Association (OMA) Clinical Practice Statement (CPS) regarding definition, diagnosis, bias, standard operating procedures (SOPs) and telehealth is intended to provide clinicians an overview of obesity medicine and provide basic organizational tools towards establishing, directing, managing, and maintaining an obesity medical practice.MethodsThis CPS is based upon published scientific citations, clinical perspectives of OMA authors, and peer review by Obesity Medicine Association leadership.ResultsOMA has defined obesity as: "A chronic, progressive, relapsing, and

Micronutrients in Oncological Intervention.

Nutritional supplements are widely used among patients with cancer who perceive them to be anticancer and antitoxicity agents. Depending on the type of malignancy and the gender 30%-90% of the cancer patients supplement their diets with antioxidant and immuno-stabilizing micronutrients, such as selenium, vitamin C, and vitamin D, often without the knowledge of the treating physician. From the oncological viewpoint, there are justifiable concerns that dietary supplements decrease the effectiveness of chemotherapy and radiotherapy. Recent studies, however, have provided increasing evidence that

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… In a recent epidemiological multicenter cohort study, including 15 gynecologists and general practitioners representatively distributed in Germany, data from 125 breast cancer patients in UICC stages IIa to IIIb were selected. … A case report from gynecologists at the University of Kansas describes a good response to cytotoxic chemotherapy (carboplatin, paclitaxel) in two women with advanced epithelial ovarian cancer who took high-dose oral antioxidants in combination with high-dose vitamin C infusion therapy (15–60 g/infusion …

Do Legal Issues Deserve Space in Specialty Medical Journals ?

Physicians and Internists in India have tended to brush under the carpet legal issues affecting their profession. Of concern to all Physicians is the judgment in a recent case where the NCDRC has stated that if MD Medicine Physicians write Physician & Cardiologist on their letterhead it is Quackery. What is MD Medicine degree holder in India qualified and trained to treat ? These are issues which need debate and that can only be initiated once we recognize that there is a problem. Either an MD Medicine is a cardiologist or he is not. If he is then it is the bounded duty of the Association of P

COVID-19: The Impact in Oncology Care.

The COVID-19 pandemic has imposed a critical challenge to the current oncology care and practices including late diagnoses, delayed anti-cancer treatment, and static clinical trials. With the increasing risk of cancer patients acquiring infection during receiving the essential care, the debate ensues on how to balance the risk factors and benefits out of the oncologic emergencies in cancer patients. In this review article, we have focused on the current global re-organization of the integrity and effectiveness of the treatment modalities depending on the patient and cancer-specific urgencies w

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… Likewise the management of gynecologic cancers is further developed by the Society of Gynecologic Oncology, the International Journal of Gynecologic Cancer [ 62 ], the National College of French Gynecologists and obstetricians [ 63 ], and from the International Gynecologic Cancer Society, in addition …

Fertility management and outcomes after CAR T-cell therapy: an international survey from the Cellular Therapy and Immunobiology working party of the European Society for Blood and Marrow Transplantation.

BACKGROUND: CAR T-cell therapy has become a highly effective treatment for hematological malignancies, and emerging evidence indicates promising benefits for non-oncohematological conditions. As its clinical use broadens, understanding long-term outcomes and late complications is crucial. One critical yet understudied area is fertility, for which current evidence remains limited and no formal guidelines provide direction for patients undergoing CAR T-cell therapy. METHODS: To address this gap, we conducted a cross-sectional survey on behalf of the Cellular Therapy and Immunobiology Working Pa

Скрининг на рак цветов у лиц с множественным склерозом: исследование по смешанным методам.

ВВЕДЕНИЕ: Лица с множественным склерозом (pwMS) имеют более низкий, по сообщениям, риск рака цвета кожи, что может отражать ограниченный доступ к скринингу рака цвета кожи (CCS). ЦЕЛИ: Сопоставление УХУ в ПМС и населения в целом и выявление барьеров и посредников с использованием смешанных методов. МЕТОДЫ: 2022-2024, старость PwMS 50-74 годы и соответствующие меры контроля3::1) были выбраны. Были рассчитаны общие и возрастные показатели охвата УХУ. В PCMS мультивариантные модели материально-технического обеспечения выявили факторы, связанные с УХУ ⩾ 80%. Были проведены полуструктурированные со

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… Other healthcare professionals (e.g. neurologists or gynecologists) were not identified as resources, namely due to “pretty time-restricted” consultations. Similarly, none of the participants reported having discussed it with their pharmacist. …

Оценка риска повторного применения удобрений в Витро у женщин с множественным склерозом.

ИССЛЕДОВАНИЯ И ЗАДАЧИ: Согласно результатам более старших исследований, риск рецидива после оплодотворения in vitro (IVF) у женщин с множественным склерозом (MS), который не был подтвержден более поздними работами. Все эти исследования имели несколько недостатков, таких, как небольшие размеры выборки, отсутствие контрольной совокупности или отсутствие неврологической проверки рецидивов. Цель этого исследования заключалась в том, чтобы определить риск рецидива после ИФ у женщин с НР.МЕТОДЫ: Это ретроспективное когортное исследование охватывало всех женщин с НР, которые прошли курс ИФ в период м

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… Our results support the recent French and Spanish guidelines 30 , 31 that advise to plan infertility treatments in a period of stable disease and that promote good communication and strong coordination between neurologists and gynecologists/fertility specialists to ensure proper MS management and ART …

The effect of growth hormone on ovarian function recovery in a mouse model of ovarian insufficiency.

ObjectivesTo evaluate the effects and mechanisms of action of growth hormone (GH) in the recovery of ovarian function in ovarian insufficiency induced by cyclophosphamide (CP) in a mouse model.Materials and methodsAfter inducing ovarian insufficiency by administering 400 mg/kg of CP intraperitoneally to 6-week-old ICR mice, the mice were divided into four groups (control, CP, 1 mg/kg GH, and 2 mg/kg GH) with 10 mice in each group. GH was administered a week later for 7 days. Five mice from each group were sacrificed the next day, and their ovaries were collected for histological examination. T

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… Committee on Adolescent health care of the American College of Obstetrics and Gynecologists . Committee opinion no. 605: primary ovarian insufficiency in adolescents and young women. Obstet Gynecol (2014) 124(1):193–7. doi: 10.1097/01.Aog.0000451757.51964.98 29. …

Progress and research trends in neurogenic bladder after spinal cord injury bibliometric analysis based on web of science database: An observational study.

Neurogenic bladder (NB) is a significant complication that often occurs after spinal cord injury. It results from urinary dysfunction caused by the injury, disrupting the normal neural control of the bladder and urethra. Symptoms of NB can include urinary frequency, urgency, incontinence, and retention, all of which can greatly impact the quality of life of affected individuals. While there are articles and reviews on NB, fewer specifically address NB following spinal cord injury. This study examined 1095 publications from January 1, 2000, to March 27, 2024, in the Web of Science core database

Recognition and management of persistent chylomicronemia: A Joint Expert Clinical Consensus by the National Lipid Association and the American Society for Preventive Cardiology.

Extreme hypertriglyceridemia, defined as triglyceride (TG) levels ≥1000 mg/dL, is almost always indicative of chylomicronemia. The current diagnostic approach categorizes individuals with chylomicronemia into familial chylomicronemia syndrome (FCS; prevalence 1-10 per million), caused by the biallelic combination of pathogenic variants that impair the lipolytic action of lipoprotein lipase (LPL), or multifactorial chylomicronemia syndrome (MCS, 1 in 500). A pragmatic framework should emphasize the severity of the phenotype and the risk of complications. Therefore, we endorse the term "persiste

Screening mammography for women aged 40 to 49 years at average risk for breast cancer: an evidence-based analysis.

OBJECTIVE: The aim of this review was to determine the effectiveness of screening mammography in women aged 40 to 49 years at average risk f … an Cancer Society, the American College of Radiology, and the American College of Obstetricians and Gynecologists recommend screening mammograms for women aged 40 to 49 years. Furthermore, in comparing screening guidelines between Canada and the United States, it is also important to recognize that "standard care" within a socialized medical system such as Cana …

Cancer in Pregnancy: Therapeutic Decisions at the Intersection of Two Lives.

Background: Cancer during pregnancy is a rare but increasingly encountered condition due to delayed childbearing and improved survival of women with cancer. The coexistence of malignancy and pregnancy poses complex diagnostic and therapeutic challenges, requiring careful balance between maternal prognosis and fetal safety. Objective: This review aims to summarize current evidence on the diagnosis and multidisciplinary management of cancer during pregnancy, focusing on the safe use of oncologic therapies, obstetric decision-making, and maternal and fetal outcomes. Methods: A narrative review wa

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… American College of Obstetricians and Gynecologists Committee Opinion No. 723: Guidelines for Diagnostic Imaging During Pregnancy and Lactation Obstet. Gynecol. 2017 130 e210 e216 10.1097/AOG.0000000000002355 28937575 30. Jabehdar Maralani P. Kapadia A. Liu G. Moretti F. Ghandehari H. Clarke S.E. …

A brief clinical genetics review: stepwise diagnostic processes of a monogenic disorder-hypertriglyceridemia.

The completion of the Human Genome Project and tremendous advances in automated high-throughput genetic analysis technologies have enabled explosive progress in the field of genetics, which resulted in countless discoveries of novel genes and pathways. Many phenotype- or disease-associated single nucleotide polymorphisms (SNPs) with a high statistical significance have been identified through numerous genome-wide association studies (GWAS), and various polygenic risk scoring (PRS) schemes have been proposed to identify individuals with a high risk for a certain trait or disorder. Meanwhile, me

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… On the other hand, the American College of Obstetricians and Gynecologists (ACOG) recommends screening for conditions with the carrier frequency of 1/100 ( 102 , 103 ). Furthermore, genetic counselors can inform individuals who may have additional risk factors beyond the general population. …

Abstracts From JADPRO Live at APSHO 2017.

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Репродуктивная автономия женщин, живущих с множественной миеломой, участвующих в программе профилактики беременности.

Множественная миелома — неизлечимый гематологический рак, который в первую очередь затрагивает пожилых людей. Женщины, имеющие фертильный потенциал, составляют небольшую, но уникальную долю населения, страдающего от многочисленных миелом. Иммуноводные агенты (талидомид, линалидомид и помалидомид) являются высокоэффективными средствами лечения для улучшения длительных периодов глубокой ремиссии и долгосрочного выживания в Множестве миеломы, которые осуществляются в рамках программ контролируемого распределения, требующих наблюдения за беременностью для женщин с потенциалом деторождения, с тем ч

Recognition and management of persistent chylomicronemia: A joint expert clinical consensus by the National Lipid Association and the American Society for Preventive Cardiology.

Extreme hypertriglyceridemia, defined as triglyceride (TG) levels ≥1000 mg/dL, is almost always indicative of chylomicronemia. The current diagnostic approach categorizes individuals with chylomicronemia into familial chylomicronemia syndrome (FCS; prevalence 1-10 per million), caused by the biallelic combination of pathogenic variants that impair the lipolytic action of lipoprotein lipase (LPL), or multifactorial chylomicronemia syndrome (MCS, 1 in 500). A pragmatic framework should emphasize the severity of the phenotype and the risk of complications. Therefore, we endorse the term "persiste