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The inflammatory profile of exacerbations in patients with severe refractory eosinophilic asthma receiving mepolizumab (the MEX study): a prospective observational study.

BACKGROUND: Clinical trials with mepolizumab, a humanised monoclonal antibody against interleukin-5, show a 50% reduction in severe asthma exacerbations in people with severe eosinophilic asthma. Exacerbations in patients treated with mepolizumab seem to be different to exacerbations in those given placebo, as patients treated with mepolizumab report fewer symptoms, have a lower sputum eosinophil count, and smaller fall in peak expiratory flow. We aimed to investigate the inflammatory phenotype and physiological characteristics of exacerbation events in patients with severe eosinophilic asthma

ХАРАКТЕРИСТИКИ ПРОСТРАНСТВА И ПРОСТРАНСТВА В ЛИЦАХ С МНОГОСТОРОННИМ СЛУЧАЕМ.

Воспаление, потеря аксона и демиелионирующие таблички в мозгу, которые являются фоном множественного склероза, очень часто приводят к изменениям в речи или дисартрии в диапазоне от мягкого до настолько сильного, что они ухудшают понимание речи собеседником. В результате множественного склероза может происходить и дисфагия. Цель этого документа состоит в том, чтобы представить речь и поглотить трудности, обусловленные множественным склерозом, а также важностью оценки речи и проглатывания людей с множественным склерозом. Эта статья носит описательный характер и содержит всеобъемлющий обзор литер

Совпадение в полном тексте источника
… Those with MS who have dysphonia will have to develop awareness of irregular patterns of speech and breathing and learn to improve breath support using abdominal breathing and control breathing through respiratory training that emphasizes the importance of proper, deeper inhalation and prolonged exhalation …

[Guidelines for the prevention and management of bronchial asthma (2024 edition)].

Bronchial asthma (asthma) is a common chronic respiratory disease. Standardized diagnosis, treatment and effective clinical management are critical to improving asthma control, improving patients' quality of life, and reducing the disease burden. Based on the latest evidence-based research from both domestic and international references, the Asthma Group of the Chinese Thoracic Society has revised the "Guidelines for bronchial asthma prevent and management (2020 edition)". This revision supplements the diagnostic pathway, and updates clinical staging, and severity grading of asthma. Furthermor

Всеобъемлющий протокол изучения воздействия многоязычия на сознание и мозг у пациентов с прогрессивными неврологическими заболеваниями.

Многоязычие, когнитивно требовательный опыт общения на нескольких языках, связано с измеримым воздействием на сознание и структуру и функцию мозга. Эти последствия, связанные с постоянной активацией нескольких языков, могут способствовать когнитивному резерву, выражающемуся в замедленном когнитивном упадке многоязычных диагностированных прогрессивными неврологическими заболеваниями, такими, как болезни Альцгеймера, Хантингтона и Паркинсона и Множественный склероз. Вместе с тем имеющиеся данные остаются непоследовательными из-за методологических недостатков, включая различия в определении много

LOX-1 and cancer: an indissoluble liaison.

Recently, a strong correlation between metabolic disorders, tumor onset, and progression has been demonstrated, directing new therapeutic strategies on metabolic targets. OLR1 gene encodes the LOX-1 receptor protein, responsible for the recognition, binding, and internalization of ox-LDL. In the past, several studied, aimed to clarify the role of LOX-1 receptor in atherosclerosis, shed light on its role in the stimulation of the expression of adhesion molecules, pro-inflammatory signaling pathways, and pro-angiogenic proteins, including NF-kB and VEGF, in vascular endothelial cells and macroph

Biomarkers in Stress Related Diseases/Disorders: Diagnostic, Prognostic, and Therapeutic Values.

Various internal and external factors negatively affect the homeostatic equilibrium of organisms at the molecular to the whole-body level, inducing the so-called state of stress. Stress affects an organism's welfare status and induces energy-consuming mechanisms to combat the subsequent ill effects; thus, the individual may be immunocompromised, making them vulnerable to pathogens. The information presented here has been extensively reviewed, compiled, and analyzed from authenticated published resources available on Medline, PubMed, PubMed Central, Science Direct, and other scientific database

Carbon dioxide detection for diagnosis of inadvertent respiratory tract placement of enterogastric tubes in children.

BACKGROUND: The insertion of an enterogastric tube (oral or nasal) (EGT) is the passage of a tube through the nose or mouth into the stomach. In a paediatric setting, EGTs are used within clinical practice for a variety of reasons including enteral feeding, decompression, post-gastrointestinal surgery, patient assessment, and drug and fluid administration. Confirmation of EGT placement is required immediately following insertion and thereafter prior to each use, including after the administration of enteral feed or medication. Although the majority of these tubes are inserted and used without

Воздействие вицеральной ожирения на клинический исход и качество жизни пациентов с множественной миеломой: вторичный анализ данных о СТАМИНЕ (BMT CTN) 0702) Судебное разбирательство

Краткое изложение проблемы ожирения является общей проблемой для здоровья многих пациентов, страдающих миеломой (ММ), и она связана с плохими клиническими результатами и качеством жизни (КОЛ). Мы провели вторичный анализ БМТ CTN 0702, выборочное, контролируемое испытание с сопоставлением результатов three :: лечение после одной пересадки гематополиетических клеток (ГХТ) для изучения воздействия висцерального ожирения, измеряемого соотношением талии и голени (ВПЧ), на клинические результаты и QOL у пациентов с MM. 549 Пациенты ММ, средний возраст 55.5 Годы, были зачислены в исследование. Больши

Impact of Educational Interventions on Psychological Distress During Allogeneic Hematopoietic Stem Cell Transplantation: A Randomised Study.

BackgroundPhysical and psychological factors, like wrong attitudes and behaviours, can negatively influence the health outcomes of the patients receiving allogeneic hematopoietic stem cell transplantation (AHSCT). Educational interventions aiming to improve knowledge on side effects, risks, complications and preventive behaviour can reduce psychological distress, and improve quality of life (QoL). We aimed to compare a standard approach with therapeutic patient education (TPE) to analyse the impact on AHSCT patients' QoL, psychological distress and knowledge of AHSCT side effects, risks compli

Emergency Care

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Совпадение в полном тексте источника
… Do the commissures of the mouth move with inhalation and exhalation? Is there evidence of expiratory distress with an abdominal push on exhalation? Note the lateral chest wall. … Do the ribs move out and in with inhalation and exhalation, or is there paradoxical chest wall motion in an area that moves in during inhalation and out during exhalation, suggestive of a flail chest? Is there any subcutaneous emphysema that suggests airway injury? …

Respiratory and Thoracic Medicine

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Elevated serum Activin A in chronic obstructive pulmonary disease with skeletal muscle wasting.

OBJECTIVE: Muscle wasting contributes to the reduced quality of life and increased mortality in chronic obstructive pulmonary disease (COPD). Muscle atrophy in mice with cachexia was caused by Activin A binding to ActRIIB. The role of circulating Activin A leading to muscle atrophy in COPD remains elusive. METHODS: In the present study, we evaluated the relationship between serum levels of Activin A and skeletal muscle wasting in COPD patients. The expression levels of serum Activin A were measured in 78 stable COPD patients and in 60 healthy controls via ELISA, which was also used to determi

Beyond fluid overload: uncovering the hidden causes of dyspnea in hemodialysis patients.

BACKGROUND: Shortness of breath is a common and complex symptom in patients with advanced kidney failure treated with hemodialysis. It may result from excess fluid accumulation, cardiac dysfunction, or impaired lung performance. We studied the interactions between hydration status, pulmonary function, and muscle strength. METHODS: This cohort study included 29 patients on maintenance hemodialysis. Each participant underwent lung function testing, diffusing capacity for carbon monoxide measurement, handgrip strength assessment, body composition analysis by bioimpedance, echocardiography, and l

Genetic and Mechanistic Insights Inform Amyotrophic Lateral Sclerosis Treatment and Symptomatic Management: Current and Emerging Therapeutics and Clinical Trial Design Considerations.

Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disorder affecting both upper and lower motor neurons. ALS is classically characterized by painless progressive weakness, causing impaired function of limbs, speech, swallowing, and respiratory function. The disease is fatal within 2-4 years, often the result of respiratory failure. The pathologic hallmark for a majority of ALS cases is aberrant cytoplasmic accumulations of the nuclear protein TAR-DNA binding protein (TDP-43). A total of 10-15% of ALS can be attributed to a single gene mutation, known as genetic or "familia

Совпадение в полном тексте источника
… Forced vital capacity (FVC), the vital capacity when exhalation is performed with a rapid maximum exhalation, is the most common respiratory measurement in ALS trials and correlates with survival [ 40 , 41 ]. … Other measures, such as slow vital capacity (SVC), where the patient exhales slowly into a spirometer, and mean inspiratory pressure, where the patient inhales against an occluded airway, have also been used [ 42 , 43 ]. …

Nutritional status and quality of life in adults undergoing allogeneic hematopoietic stem cell transplantation.

Although the effects of malnutrition on morbidity and mortality in adult patients undergoing allogeneic hematopoietic stem cell transplantation are clear, the relationship with quality of life (QOL) is less clear. The purpose of this study was to assess the relationship between malnutrition and QOL. A prospective observational study was conducted in 36 adult patients undergoing allogeneic hematopoietic stem cell transplantation. Adapted criteria of the Global Leadership Initiative on malnutrition have been used for the diagnosis of malnutrition in clinical settings. A cancer linear analog scal

COVID-19: A 2020 update

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Interventions to prevent women from developing gestational diabetes mellitus: an overview of Cochrane Reviews.

BACKGROUND: The prevalence of gestational diabetes mellitus (GDM) is increasing, with approximately 15% of pregnant women affected worldwide, varying by country, ethnicity and diagnostic thresholds. There are associated short- and long-term health risks for women and their babies. OBJECTIVES: We aimed to summarise the evidence from Cochrane systematic reviews on the effects of interventions for preventing GDM. METHODS: We searched the Cochrane Database of Systematic Reviews (6 August 2019) with key words 'gestational diabetes' OR 'GDM' to identify reviews pre-specifying GDM as an outcome. We

The International Liaison Committee on Resuscitation (ILCOR) consensus on science with treatment recommendations for pediatric and neonatal patients: pediatric basic and advanced life support.

This publication contains the pediatric and neonatal sections of the 2005 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations (COSTR). The consensus process that produced this document was sponsored by the International Liaison Committee on Resuscitation (ILCOR). ILCOR was formed in 1993 and consists of representatives of resuscitation councils from all over the world. Its mission is to identify and review international science and knowledge relevant to cardiopulmonary resuscitation (CPR) and emergency cardiovascular

IgE-expressing long-lived plasma cells in persistent sensitization.

Persistent allergies affect the quality of life of patients and increase economic burdens. Many clinical observations indicate the presence of IgE+ long-lived plasma cells (LLPCs), which account for the persistent secretion of specific IgE; however, the characteristics of the IgE+ LLPCs have yet to be identified clearly. In this review, we summarized the generation of IgE+ PCs, discussed the prosurvival factors in the microenvironment, and reviewed the unique IgE-BCR signaling, which may bring insights into understanding the survival mechanisms of IgE+ LLPCs.

Mepolizumab in the treatment of eosinophilic chronic obstructive pulmonary disease.

Despite maximal medical therapy, a subset of patients with chronic obstructive pulmonary disease continue to suffer acute exacerbations. It is also clear that a subset of this population has elevated blood eosinophils. In addition to clearly responding better to inhaled corticosteroids, it is also possible that this subgroup may benefit from biologic treatments targeting eosinophilic inflammation. Mepolizumab, a humanized monoclonal antibody against interleukin-5 (IL-5), may have a therapeutic effect in a subgroup of patients with COPD and eosinophilic airway inflammation. In this review, we d