Результаты поиска

Педиатрическое ожирение - долгосрочные последствия и последствия потери веса.

Согласно ВОЗ, детский ожирение - это one наиболее серьезных проблем, с которыми сталкивается 21st Столетие. Более 100 million Сегодня у детей ожирение. Уже в детстве почти все органы подвергаются риску ожирения. В этом обзоре мы представляем текущие знания о болезнях, связанных с детским ожирением, и о том, как они влияют на потерю веса. One Основным побудительным фактором является вызванное ожирением низкосортное хроническое воспаление, которое уже наблюдается у детей дошкольного возраста. Это воспаление в сочетании с эндокринным, паракринным и метаболическим воздействием ожирения повышает до

Долгосрочное воздействие COVID-19 на репродуктивное здоровье женщин и его связь с аутоиммунными заболеваниями, включая множественный склероз.

Озабоченность по поводу долгосрочного влияния COVID-19 на репродуктивное здоровье женщин растет, и появляющиеся исследования указывают на потенциальные связи с яичниковой дисфункцией, менструальными нарушениями, проблемами фертильности и неблагоприятными последствиями беременности. Регулирование послевирусной иммунной дисдукции связано как с развитием, так и с обострением аутоиммунных заболеваний, включая множественный склероз (МС). Длинный процесс COVID связан с иммунологической дисфункцией, гормональными дисфункциями и хроническим воспалением, что может усугублять аутоиммунные расстройства и

Patient perspectives on BCMA-targeted therapies for multiple myeloma: a survey conducted in a patient advocacy group.

BackgroundAdvances in multiple myeloma (MM) treatment have shifted the therapeutic landscape. Understanding patients' perspectives can assist physicians in helping patients make informed decisions. This study aimed to understand the patient decision-making process and gain insights into patient perspectives on B-cell maturation antigen (BCMA)-targeted therapies for MM.MethodsAn 18-question survey was completed by patients with MM enrolled in HealthTree® Cure Hub, an online portal helping patients with plasma cell dyscrasias navigate their disease.ResultsFrom October 28, 2022, to January 12, 20

Changing trends of the diseases burden attributable to high BMI in Asia from 1990 to 2019: results from the global burden of disease study 2019.

ObjectiveTo analyse the trends of diseases burden attributed to high body mass index (BMI), including overweight and obesity, in Asia from 1990 to 2019.DesignObservational study.SettingThe data of 45 countries and regions in Asia were obtained from the Global Burden of Disease Study 2019 database.Main outcome measuresNumbers, age-standardised rate (ASR) of deaths and disability-adjusted life years (DALYs), and the corresponding estimated annual percentage changes (EAPCs), attributable to high BMI in Asia from 1990 to 2019, were analysed by regions, genders and age. We also analysed changes in

Forecasting immune effector cell-associated neurotoxicity syndrome after chimeric antigen receptor t-cell therapy.

BackgroundImmune effector cell-associated neurotoxicity syndrome (ICANS) is a clinical and neuropsychiatric syndrome that can occur days to weeks following administration chimeric antigen receptor (CAR) T-cell therapy. Manifestations of ICANS range from encephalopathy and aphasia to cerebral edema and death. Because the onset and time course of ICANS is currently unpredictable, prolonged hospitalization for close monitoring following CAR T-cell infusion is a frequent standard of care.MethodsThis study was conducted at Brigham and Women's Hospital from April 2015 to February 2020. A cohort of 1

Long-term stabilization of stage 4 colon cancer using sodium dichloroacetate therapy.

Oral dichloroacetate sodium (DCA) has been investigated as a novel metabolic therapy for various cancers since 2007, based on data from Bonnet et al that DCA can trigger apoptosis of human lung, breast and brain cancer cells. Response to therapy in human studies is measured by standard RECIST definitions, which define "response" by the degree of tumour reduction, or tumour disappearance on imaging. However, Blackburn et al have demonstrated that DCA can also act as a cytostatic agent in vitro and in vivo, without causing apoptosis (programmed cell death). A case is presented in which oral DCA

Широкие повреждения обода являются новым патологическим и визуализированным биомаркером для быстрого развития заболеваний в множестве склерозов.

Текущее несколько методов лечения склероза (MS) сокращают активность рецидивов, но оказывают ограниченное воздействие на прогрессию заболеваний. Клинические испытания, ориентированные на прогресс, часто не дают результатов из-за недостаточного понимания его основополагающих механизмов. В этом исследовании анализировалась клинически хорошо известная когорта вскрытия MS из банка мозга Негерланда (186 человек), из которого мы отобрали доноров, проявляющих противоположные траектории заболеваний медленных и быстрых темпов развития. Мы провели обширную непредвзятую гистологию и пространственную тран

Experiences of Cancer-Related Cognitive Impairment Across Cancer Types: Qualitative Systematic Review.

BackgroundCancer-related cognitive impairment (CRCI) is frequently reported during cancer treatment, with 35% of patients experiencing cognitive issues even after treatment completion. Commonly reported impairments include difficulties with memory, attention, executive function, and processing speed, which often reduce daily functioning and quality of life (QoL). Despite its prevalence, CRCI remains underresearched across various cancer types, limiting understanding of the patient experience.ObjectiveThis study aims to synthesize the qualitative evidence regarding the lived experience of CRCI

Prediagnostic self-rated health and survival in women diagnosed with cancer in the Norwegian Women and Health Study: a prospective cohort study.

ObjectivesSelf-rated health (SRH) is a well-established predictor of all-cause mortality. However, its predictive value in patients with cancer remains unclear. We aimed to elucidate the relationship between prediagnostic SRH and mortality among patients with cancer using data from the Norwegian Women and Health (NOWAC) Study.DesignA prospective cohort study.Settings and participantsThis study included 26 405 women from the NOWAC cohort who were diagnosed with cancer between 1992 and 2020. Subgroup analyses focused on the most common cancer types among Norwegian women: breast (n=8299), colorec

The Persistence of Stigma and Other Challenges Experienced by Medical Cannabis Users: A Thematic Synthesis of Qualitative Studies.

BackgroundThe legislation, practices, and guidance shaping patient and professional access to medical cannabis (MC) for managing chronic pain and other conditions vary widely across jurisdictions. Despite promising evidence of effectiveness, challenges persist for those trying to access or prescribe MC. Little is known about how patients navigate these complex environments. We aimed to understand the evidence related to personal lived experiences associated with using MC for chronic pain and other conditions in negotiating these challenges.SummaryWe used a framework by Thomas and Harden for co

Долгосрочная последующая работа с клеточной терапией BCMA CAR-T у пациентов с множественным миелом рецидива/отключения.

Иммунотерапия с использованием химерика антигенного рецептора (CAR) в виде зрелых клеток (BCMA) показала многообещающие результаты в лечении повторной или повторной миеломы (R/RMM). В этом исследовании представлены обновленные долгосрочные результаты нашего центра. MethodsBetween July 30, 2018, и сентябрь 27, 2023, 141 Зачислены пациенты с R/RMM, получившие терапию BCMA CAR-T. Пациенты прошли курс химиотерапии циклофосфамидом и флударабином, за которым последовало вливание клеток BCMA CAR-T при средней дозе 2.36×106 клетки/кг. В ходе исследования была проведена оценка общих показателей ответов

Beyond surgical radicality in intramedullary spinal cord metastases: neurological function and systemic disease burden drive patient outcomes.

PURPOSE: Intramedullary spinal cord metastases (ISCM) are rare, clinically challenging lesions with limited evidence-based guidance. Optimal surgical management remains controversial, particularly regarding the ideal extent of resection (EOR) and associated prognostic factors. This study systematically evaluates perioperative outcomes, neurological function, and short-term survival according to biopsy-only, subtotal, or gross total resection (GTR) approaches. METHODS: This retrospective single-center study included 16 patients treated surgically for histologically confirmed ISCM between 2015

A Web-Based Lifestyle-Related Course for People Living With Multiple Sclerosis: Quantitative Evaluation of Course Completion, Satisfaction, and Lifestyle Changes Among Participants Enrolled in a Randomized Controlled Trial.

BACKGROUND: Web-based health courses providing lifestyle-related information can potentially increase knowledge, facilitate behavior change, and improve health outcomes for people living with multiple sclerosis (MS). Despite the low engagement with web-based programs by this population, few studies have evaluated factors influencing engagement. This study evaluated engagement with our 6-week lifestyle-related course (Multiple Sclerosis Online Course; MSOC) by participants enrolled in a large, international randomized controlled trial, as well as preliminary outcomes. OBJECTIVE: This study aim

Комплексный подход к проблеме употребления наркотиков в сексуальных целях (Хемсекс) 3-methylmethcathinone:: отчет о деле.

Практика химиката касается употребления наркотиков во время половой жизни. Во многих статьях содержится описание химикатов и рассматриваются риски, связанные с инфекциями, передаваемыми половым путем; вместе с тем лишь в немногих статьях рассматривается вопрос о формах зависимости химикса с точки зрения диагностических критериев, предрасполагающих факторов и рекомендуемых методов лечения. Наркотики, обычно используемые в химсексуальной практике, включают новые синтетические катиноны 3-methylmethcathinone и 4-methylmethcathinone. Знания о свойствах привыкания 3-methylmethcathinone и 4-methylmet

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… Some individuals feel pressured to participate due to peer influence [ 5 , 7 ]. …

Предсказующие факторы накопления ранней инвалидности в недавно диагностированном множественном склерозе: клинические, визуальные и цереброспинные меры.

Усиливающийся арсенал вариантов лечения для повторного склероза (RMS) подчеркивает необходимость раннего прогнозирования биомаркеров. Несмотря на наличие данных для отдельных маркеров, всеобъемлющий анализ на момент диагностики носит ограниченный характер. МЕТОДЫ: Число повреждений мозга и спинного мозга, параметры цереброспинной жидкости, первоначальные симптомы и оценка расширенной шкалы инвалидности (EDSS) были определены в момент диагностики. Подтвержденное накопление инвалидности, определяемое как устойчивое увеличение ЕДСС по сравнению с 6 месяцев, были определены в течение 5-year Послед

A prospective observational study to assess clinical decision-making, prognosis, quality of life and satisfaction with care in patients with relapsed/refractory multiple myeloma: the CLARITY study protocol.

BACKGROUND: Treatment decision-making in patients with relapsed/refractory multiple myeloma (RRMM) is challenging for a number of reasons including, the heterogeneity of disease at relapse and the number of possible therapeutic approaches. This study broadly aims to generate new evidence-based data to facilitate clinical decision-making in RRMM patients. The primary objective is to investigate the prognostic value of patient self-reported fatigue severity for overall survival. METHODS: This multicenter prospective observational study will consecutively enroll 312 patients with multiple myelom

Core elements of serious illness conversations: an integrative systematic review.

BackgroundAriadne Labs' Serious Illness Care Program (SICP), inclusive of the Serious Illness Conversation Guide (SICG), has been adapted for use in a variety of settings and among diverse population groups. Explicating the core elements of serious illness conversations could support the inclusion or exclusion of certain components in future iterations of the programme and the guide.AimThis integrative systematic review aimed to identify and describe core elements of serious illness conversations in relation to the SICP and/or SICG.DesignLiterature published between 1 January 2014 and 20 March

Incidence of stroke in the first year after diagnosis of cancer-A systematic review and meta-analysis.

BackgroundPatients newly diagnosed with cancer represent a population at highest risk for stroke. The objective of this systematic review and meta-analysis was to estimate the incidence of stroke in the first year following a new diagnosis of cancer.MethodsWe searched MEDLINE and EMBASE from January 1980 to June 2021 for observational studies that enrolled adults with a new diagnosis of all cancers excluding non-melanoma skin cancer, and that reported the incidence of stroke at 1 year. PRISMA guidelines for meta-analyses were followed. Two reviewers independently extracted data and appraised r

New cancer medicines in Europe 2010-2020: comparison of medicines with or without extensions of indications.

IntroductionDuring the last decade, extensions of therapeutic indications have been one of the most common methods to extend the lifecycle of a medical product in the post-authorisation phase and to increase the use and sales of medicines. The aim of this study was to gain understanding of the lifecycle of cancer medicines and especially the role and level of evidence extensions in comparison to first indications.Materials and methodsWe identified all new outpatient cancer medicines approved by the European Medicines Agency between 2010 and 2020 and the extensions to their indications. We comp

Resilience and Sub-optimal Social Determinants of Health: Fostering Organizational Resilience in the Medical Profession.

The relationship between social determinants of health (SDOH) and resilience has been investigated at the individual level and, to some extent, at the community level. The aftermath of the COVID-19 pandemic further highlighted the necessity for organizational resilience in the United States. The US public health and health care system began the lengthy process of identifying the resiliency needs of its workforce that expand beyond disaster preparedness. The purpose of this article is to describe the relationship between resilience and SDOH and how medical training can infuse resiliency within