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Haemato-oncology and burnout: an Italian survey.

This cross-sectional survey aimed to evaluate the prevalence of burnout and estimated psychiatric disorders among haemato-oncology healthcare professionals in Italy. The aspects of work that respondents perceive as stressful and satisfying have also been examined. The assessments were made using the Maslach Burnout Inventory (MBI), General Health Questionnaire and a study-specific questionnaire. Logistic regression models were applied to show associations between different sources of work-related stress and burnout. Three hundred and eighty-seven out of 440 (87.95%) returned their questionnair

Демографическое исследование митохондриальных заболеваний и состояния психического здоровья в Онтарио, Канада.

КОЛИЧЕСТВО: Митохондриальное заболевание связано с психическим расстройством в клинических когортах и в послесмертных исследованиях. Однако отсутствие исследований на уровне населения, посвященных изучению взаимосвязи между митохондриальным заболеванием и психическим здоровьем, привело к пробелу в данных и создает проблему для выявления и удовлетворения потребностей в уходе за митохондриальным заболеванием. С использованием многочисленных баз данных о состоянии здоровья населения в системе здравоохранения с одним плательщиком, которая охватывает все население, цель этого исследования заключала

Factors Determining the Level of Acceptance of Illness and Satisfaction with Life in Patients with Cancer.

IntroductionCancer threatens life and brings about many negative emotions in patients, which influence their satisfaction with life and contribute to a low level of their acceptance of illness. This is why the acceptance of illness is a serious problem among patients with cancer; contributes to the intensification of symptoms; and influences the patient's physical, mental, emotional, social, and spiritual condition.AimThe purpose of this work is to assess the acceptance of illness and satisfaction with life in patients with cancer, as well as to identify social, demographical, and clinical fac

Смертность и причины смерти для лиц с множественным склерозом: исследование, проведенное финским национальным регистром.

ВВЕДЕНИЕ: Демографические продольные данные о смертности и причинах смерти (ОД) людей с множественным склерозом (ПМС) являются скудными. Мы изучали все причины и причины смертности в Финляндии в рамках общенационального регистрационного исследования. МЕТОДЫ: ПУМС, 1st Январь 1971 до конца 2019 :: были выявлены в финской системе учета и в национальном регистре медицинского обслуживания. Стандартизованные коэффициенты смертности (УМС), избыточные коэффициенты смертности (УДР), ожидаемая продолжительность жизни и причины смерти (ОД) были определены путем увязки с национальными реестрами. РЕЗУЛЬТА

Actinium-225 targeted alpha particle therapy for prostate cancer.

Targeted alpha particle therapy (TAT) has emerged as a promising strategy for the treatment of prostate cancer (PCa). Actinium-225 (225Ac), a potent alpha-emitting radionuclide, may be incorporated into targeting vectors, causing robust and in some cases sustained antitumor responses. The development of radiolabeling techniques involving EDTA, DOTA, DOTPA, and Macropa chelators has laid the groundwork for advancements in this field. At the forefront of clinical trials with 225Ac in PCa are PSMA-targeted TAT agents, notably [225Ac]Ac-PSMA-617, [225Ac]Ac-PSMA-I&T and [225Ac]Ac-J591. Ongoing inve

Multicentre adaptive randomised trial of GvHD prophylaxis following unrelated donor stem cell transplantation comparing Thymoglobulin versus calcineurin inhibitor-based or sirolimus-based post-transplant cyclophosphamide (Methods of T cell Depletion, MoTD trial).

IntroductionGraft-versus-host disease (GvHD) remains a major complication of allogeneic stem cell transplantation (allo-SCT), affecting 30-70% of patients (representing 800 new patients per year in the UK). The risk is higher in patients undergoing unrelated allo-SCT. About 1 in 10 patients die as a result of GvHD or through complications of its treatment. In patients who survive GvHD and or the complications of treatment, about 1 in 3 patients develop chronic GvHD which has a negative impact on quality of life (QoL). Many transplant protocols use alemtuzumab or anti-thymocyte globulin (ATG) i

HealthTree Cure Hub: A Patient-Derived, Patient-Driven Clinical Cancer Information Platform Used to Overcome Hurdles and Accelerate Research in Multiple Myeloma.

PurposeThe study of rare diseases, such as multiple myeloma (MM), often experiences unique research hurdles that can delay or prevent lifesaving discoveries. HealthTree Cure Hub is a first-in-class software program designed to overcome these potential research hurdles.MethodsWe assessed whether HealthTree Cure Hub improved four commonly experienced research hurdles such as (1) small numbers of patient accrual to clinical trials and research studies, (2) shallow and isolated data sets, (3) high costs to answer research questions, and (4) lack of long-term follow-up patient data.ResultsAs of Jun

Совпадение в полном тексте источника
… In the endeavor of overcoming research hurdles, adequate safety and security measures were instituted so that there was no foreseeable harm or unintended consequences experienced by users of the HealthTree Cure Hub online patient portal. …

Education, Employment, and Financial Outcomes in Adolescent and Young Adult Cancer Survivors-A Systematic Review.

Adolescents and young adults (AYAs) with cancer face unique challenges. We aimed to describe (i) education, employment, and financial outcomes and (ii) determinants for adverse outcomes in AYA cancer survivors. We performed a systematic literature search. We included original research articles on AYA (15-39 years of age) cancer survivors (≥2 years after diagnosis) and our outcomes of interest. We narratively synthesized the results of the included articles. We included 35 articles (24 quantitative and 11 qualitative studies). Patients in education had to interrupt their education during cancer

Prevention of medication-related osteonecrosis of the jaw after tooth extraction by local administration of antibiotics and atelocollagen sponge: A preliminary study.

BACKGROUND/PURPOSE: Medication-related osteonecrosis of the jaw (MRONJ) often develops after extraction of a tooth with a local infection. Therefore, it is necessary to develop extraction methods that can prevent MRONJ. Before examining whether antibiotics and atelocollagen administered in the extraction socket can prevent the development of MRONJ after tooth extraction, this study was conducted to determine the appropriate antibiotics concentration and to conduct a clinical study with a small number of cases as a preliminary study. MATERIALS AND METHODS: First, a mixture of minocycline and a

Берберин защищает от поведенческого дефицита, дисфункции памяти и каллозаального обезвоживания в мышах C57BL/6.

ЦЕЛИ: Множественный склероз (MS) — неврологическое расстройство, характеризующееся постепенным обезвоживанием и нейроинфламмацией. Берберин, производный растительным изоквинолоидным алкалоидом, обнаруженным в берберских породах, обладает заметными антивоспалительными и антиоксидантами. Цель этого исследования состояла в том, чтобы оценить защитный эффект берберина от интоксикации чайников в мышах C57BL/6. МАТЕРИАЛЫ И МЕТОДЫ: C57BL/6 Мыши получали пищевые продукты, содержащие чашечник (0,2% по весу) в течение пяти недель и проходили одновременно курс лечения берберина (5 или 10 мг/кг). Была про

Clinical Features and Risk Factors of Adrenal Insufficiency in Patients With Cancer Admitted to the Hospitalist-Managed Medical Unit.

BackgroundThe symptoms of adrenal insufficiency (AI) overlap with the common effects of advanced cancer and chemotherapy. Considering that AI may negatively affect the overall prognosis of cancer patients if not diagnosed in a timely manner, we analyzed the incidence, risk factors, and predictive methods of AI in cancer patients.MethodsWe retrospectively analyzed the medical records of 184 adult patients with malignancy who underwent a rapid adrenocorticotrophic hormone stimulation test in the medical hospitalist units of a tertiary hospital. Their baseline characteristics and clinical feature

Effect of Paget's disease of bone (osteitis deformans) on the progression of prostate cancer bone metastasis.

BackgroundPatients with prostate cancer tend to die from bone metastases. Until now, no evidence has shown that Paget's disease of bone (PDB) affects the progression of bone metastasis or overall survival of patients with prostate cancer.MethodsWe searched our patient database for men who had presented with prostate cancer and PDB between June 1993 and March 2009, and identified best-matched control patients according to stage, grade, age, date of diagnosis, treatment, and race.ResultsAmong 1346 consecutive patients with prostate cancer diagnosed before 2008, 15 were confirmed to have comorbid

Randomised clinical study of the impact of routine preoperative Doppler ultrasound for the outcome of autologous arteriovenous fistulas for haemodialysis.

BackgroundArteriovenous fistulas are the gold standard of vascular accesses in haemodialysis; however, they have a considerable primary failure rate. This study evaluated the comparative reliability of routine preoperative Doppler ultrasound with an isolated physical examination of autologous arteriovenous fistulas within the Single Health System of Brazil and analysed the potential clinical benefit, improvement in primary failure rates and its economic impact.MethodsA non-blind randomised clinical study group of patients undergoing a vessel mapping with preoperative Doppler ultrasound (ultras

Результаты и факторы риска у пациентов с гематологическими отклонениями после позднего периода SARS-CoV-2 Инфекция.

ЦЕЛЬ: Изучение результатов и факторов риска для пациентов с гематологическими отклонениями (ГМ) после поздней стадии SARS-CoV-2 инфекция. Пациенты с такими симптомами, как лимфопролиферативные недуги (включая острую лимфоболическую лейкемию и миелому) и миелопролиферативные недуги (включая острую миэлоидную лейкемию, миелопролиферативную опухоль и миэлодиспластический синдром), подвергаются повышенному риску серьезных заболеваний и высокой смертности от них. COVID-19. В настоящем исследовании рассматриваются последствия SARS-CoV-2 Инфекционное воздействие на прогноз ВМ на поздней стадии COVID-

Spinal cord infarction attributed to SARS-CoV-2, with post-acute sequelae of COVID-19: A case report.

BACKGROUND: While stroke and lower extremity venous thromboemboli have been commonly reported following acute infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), spinal cord infarction or ischemia has been extremely rare. Findings of long coronavirus disease (COVID) in this select population have not been studied. CASE SUMMARY: We present the case of a 70-year-old female with sudden onset of trunk and lower extremity sensorimotor loss due to spinal cord infarction, attributed to acute infection with SARS-CoV-2. Diagnostic work up confirmed a T3 complete (ASIA impairme

Telehealth exercise to Improve Physical function and frailty in patients with multiple myeloma treated with autologous hematopoietic Stem cell transplantation (TIPS): protocol of a randomized controlled trial.

BACKGROUND: Advances in autologous hematopoietic stem cell transplantation (HSCT) and supportive care have led to marked improvements in survival for patients with multiple myeloma. Despite these improvements, patients with multiple myeloma remain at high risk of physical dysfunction and frailty due to HSCT and its associated exposures. Although traditional supervised exercise programs can improve frailty in cancer patients and survivors, rehabilitation facilities are typically far from a patient's residence, are offered on fixed days/hours, contain uniform activities for everyone, and carry a

Chimeric Antigen Receptor T-Cell Therapy Is Associated with Low Absolute Rates of Orofacial Adverse Events and Significantly Less When Compared to Hemopoietic Stem Cell Therapy.

Background/Objectives: Chimeric antigen receptor T-cell (CAR-T) therapy has been approved for the management of relapsed and refractory hematologic malignancies, transforming the oncologic landscape and producing durable remissions in patient populations with limited alternatives. The systemic adverse events of CAR-T are well characterized; however, the orofacial adverse events have not been well described. The objective of this study is to leverage a large, de-identified, real-world dataset to (1) estimate the prevalence of orofacial adverse events following CAR-T, (2) compare event rates wit

План осуществления амбулаторного управления биконкретными антителами в множестве миеломы.

Удельные антитела (BsAbs) являются новыми иммунотерапевтическими агентами для лечения повторной/охлажденной множественной миеломы (RRMM). В настоящее время 3 БСАБ (теклистамб, талькетамаб и эль-Ранатамаб) утверждены для обработки РУМ. Для улучшения доступа к лечению и результатов лечения пациентов решающее значение имеет управление БСАБ в различных практических условиях. В настоящем докладе содержатся практические рекомендации по обеспечению безопасного и эффективного управления БСАБ для пациентов, имеющих ОРМ в амбулаторных и общинных условиях. В Соединенных Штатах, Европе и Латинской Америке

A single-center 7-year experience with end-stage renal disease care in Nigeria-a surrogate for the poor state of ESRD care in Nigeria and other sub-saharan african countries: advocacy for a global fund for ESRD care program in sub-saharan african countries.

Background. A single-center ESRD care experience in a Nigerian teaching hospital is presented as a surrogate case to demonstrate the prevailing ESRD care situation in Nigeria and most SSA countries. Methods. The data of 320 consecutive ESRD patients undergoing maintenance haemodialysis treatment during a seven-year period were retrospectively analyzed. Results. Over 80% of the subjects funded dialysis treatments from direct out of pocket payment. The mean duration on dialysis before dropout was 5.2 ± 7.6 weeks, with majority 314 (98.1%) of the patients unable to sustain dialysis above 12 weeks

The efficacy and safety of electro-acupuncture for alleviating chemotherapy-induced peripheral neuropathy in patients with coloreactal cancer: study protocol for a single-blinded, randomized sham-controlled trial.

BackgroundColorectal cancer is the most common cancer in Hong Kong. Oxaliplatin-based chemotherapy is a major first-line conventional therapy for advanced and metastatic colorectal cancer. However, oxaliplatin causes chemotherapy-induced peripheral neuropathy (CIPN). Acupuncture has long been used to alleviate limb numbness in Chinese medicine. This study aims to examine the efficacy and safety of acupuncture for alleviating CIPN in patients with colorectal cancer in Hong Kong.Methods/designThis is a single-blinded, randomized, sham-controlled efficacy trial. Eighty-four eligible patients, who