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A scoping review on the surgical management of metastatic bone disease of the extremities.

BACKGROUND: Management of metastatic bone disease of the extremities (MBD-E) is challenging, and surgical directions pose significant implications for overall patient morbidity and mortality. Recent literature reviews on the surgical management of MBD-E present a paucity of high-level evidence and global inconsistencies in study design. In order to steer productive research, a scoping review was performed to map and assess critical knowledge gaps. METHODS: The Arksey and O'Malley framework for scoping studies was followed. A comprehensive literature search identified a large body of literatur

Unpacking adiposity: a narrative critical appraisal of diverse obesity definitions.

BACKGROUND: Obesity is a complex, multifaceted chronic disease that poses a major global health challenge. Traditionally, population-level screening and follow-up have relied heavily on body mass index (BMI). Although BMI provides a simple, standardized measure for epidemiological studies, it does not account for individual variations in muscle mass, fat distribution, or metabolic health. Consequently, relying solely on weight-to-height ratios-even when supplemented with waist circumference, waist-to-hip ratio, or waist-to-height ratio-limits precise individual diagnosis and comprehensive heal

Accelerating novel therapies for sickle cell disease with RWE: ASH RC Data Hub as a strategically coordinated registry network.

AbstractReal-world evidence (RWE) has been used to improve quality of care, accelerate innovation, and evaluate emerging therapies for drugs, devices, and biologics. The Coordinated Registry Network (CRN), aggregating and linking highly curated patient data, has emerged as a model for RWE generation that has guided the development of the American Society of Hematology Research Collaborative (ASH RC) Data Hub. With the aim of bolstering research, enhancing clinical care, and expediting evidence generation using RWE, the ASH RC and the Innovative Genomics Institute launched a joint initiative, "

Понимание иранскими пациентами, страдающими множественным склерозом, источников поддержки, необходимых для корректировки: качественный анализ содержания.

ЦЕЛЬ: Большинство людей с множественным склерозом (МС) всегда стремятся получить многочисленные источники поддержки, чтобы приспособиться к этому состоянию здоровья; однако имеется ограниченная информация об их восприятии и опыте использования таких источников. Цель этого исследования заключалась в изучении представлений пациентов с НР об источниках поддержки, необходимой для их адаптации. МАТЕРИАЛЫ И МЕТОДЫ: Это качественное исследование было проведено в 2020-2022 годах на основе традиционного подхода к анализу содержания. Тринадцать пациентов с MS, одна пациентка, одна медсестра и один врач

Insights from Social Media on the Patient Experience of Living With Rare Eosinophil-Driven Diseases.

Eosinophilic granulomatosis with polyangiitis (EGPA) and hypereosinophilic syndrome (HES) are driven by persistently high eosinophil numbers, causing damage to tissues and organs. As rare diseases, they are often underappreciated by healthcare professionals. Using a social listening analysis, we collected patient and caregiver comments relating to EGPA and HES made on online social platforms between 1 January 2019 and 31 May 2020, in English, French, and German. Results were classified into key areas of interest. In total, 746 comments with consent to publish were collected mentioning EGPA, an

Multiple myeloma and physical activity: a scoping review.

ObjectivesMultiple myeloma is the second most common haematological cancer. A growing body of literature is emerging that investigates the role physical activity plays in all stages of multiple myeloma (prevention and survivorship) and to date no attempt has been made to collate and understand this literature. Therefore, this scoping review aims to (1) outline what is already known about physical activity in all stages of multiple myeloma (2) map the literature on physical activity and multiple myeloma and (3) identify future directions for research.DesignScoping Review.Data sourcesSearches we

A comparison of cancer treatment protocols in Australia, Canada, and the United Kingdom.

BackgroundNational cancer treatment protocols guide drug selection, dosing, and access to care. While Australia, Canada, and the United Kingdom (UK) have similar socialised healthcare systems, the extent to which their treatment protocols align remains unclear. This study compared protocols across these countries, examining drug selection, distribution by cancer type, and dosing.MethodsA cross-sectional analysis was conducted of in-use protocols as of January 2025 from eviQ (Australia), Cancer Care Ontario (Canada), and the Clatterbridge Cancer Centre (UK). Protocols were reviewed to identify

Индивидуальный рациональный мониторинг наркотиков в сочетании с типовым медико-санитарным просвещением в целях улучшения соблюдения и прогнозирования терапии клеток CAR-T.

ПППОСЕ: Осложнения, такие, как синдром опухоли, возникают в процессе лечения клеток химерического антигенного рецептора (CAR)-T, что отрицательно сказывается на воздействии лечения. Цель этого исследования заключается в изучении сочетания индивидуального рационального контроля за лекарствами и модели " Знания, отношение " и " Поведение " (KABP) в целях улучшения соблюдения и прогнозирования клеточной терапии CAR-T.ПАТИЕНТЫ И МЕТОДЫ: 91 пациентов с лимфомой и множественными миеломами, которые с января проходили клеточную терапию CAR-T в нашей больнице 2021 по декабрь 2024 бы

Promoting patient-centered care in CAR-T therapy for hematologic malignancy: a qualitative meta-synthesis.

BackgroundCAR-T therapy has emerged as a potentially effective treatment for individuals diagnosed with hematologic malignancies. Understanding patients' unique experiences with this therapeutic approach is essential. This knowledge will enable the development of tailored nursing interventions that align with the increasing importance of patient-centered care.ObjectiveTo examine and synthesize qualitative data on patients and their family caregivers' experiences during the treatment journey.DesignWe conducted a systematic review and qualitative meta-synthesis. Eligible studies contained adult

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… Nurses’ professional competence and comprehensive care are critical to the effectiveness of CAR-T therapy, patient safety, and out-of-hospital rehabilitation. …

Large differencies in age-specific survival in multiple myeloma in the nordic countries.

Аннотация не предоставлена источником. Откройте карточку для перехода к публикации.

Изучение того, что имеет наибольшее значение для пациентов при повторном рефрактальном лечении нескольких миелом: канадский эксперимент по дискретному выбору пациентов, лиц, обеспечивающих уход, и врачей.

КОЛИЧЕСТВО: Возвращение/изъятие нескольких миелом (RRMM) оказывает значительное воздействие на качество жизни пациентов. В рамках этого исследования были изучены особенности лечения, характерные для RRMM в Канаде, при этом были сопоставлены параметры традиционных методов лечения с характеристиками химической антигенной рецепторной (CAR) T-клетокой терапии. Она была направлена на понимание предпочтений пациентов и того, каким образом те, кто ухаживает за больными, и специалисты в области здравоохранения (ХЦП) воспринимают эти предпочтения. МЕТОДЫ: Был проведен эксперимент по дискретному выбору

Accuracy of artificial intelligence in detecting tumor bone metastases: a systematic review and meta-analysis.

BackgroundBone metastases (BM) represent a prevalent complication of tumors. Early and accurate diagnosis, however, is a significant hurdle for radiologists. Recently, artificial intelligence (AI) has emerged as a valuable tool to assist radiologists in the detection of BM. This meta-analysis was undertaken to evaluate the AI diagnostic accuracy for BM.MethodsTwo reviewers performed an exhaustive search of several databases, including Wei Pu (VIP) database, China National Knowledge Infrastructure (CNKI), Web of Science, Cochrane Library, Ovid-Embase, Ovid-Medline, Wan Fang database, and China

Surgical Intervention for Spinal Lesions Due to Multiple Myeloma: A Case Report.

Vertebral disease is a main source of morbidity (MM) in individuals with multiple myeloma. The effects of associated osteolytic lesions and vertebral fractures on severe pain, functional limits, spinal deformity, and cord compression are well recognized. Systemic therapy, radiation, cementoplasty (vertebroplasty/kyphoplasty), and radiofrequency ablation are now available therapeutic options for severe MM spinal pain. We here reported a case of a 45-year-old male who had complained of progressive symptoms of pathological spine fractures. He had been examined and investigated for the cause of ly

Adult-Onset Cerebral Adrenoleukodystrophy Without Adrenal Gland Involvement.

X-linked adrenoleukodystrophy (X-ALD) is a metabolic disorder characterized by endocrine and neurological degeneration. A rare and variegated entity in adults, diagnosis is often a significant challenge and can lead to extensive testing, including invasive procedures if clinical suspicion is not high. We present the case of a 46-year-old-male with neurological dysfunction that is uncommon in X-ALD with preserved adrenocortical function. Initially misdiagnosed with multiple sclerosis, the patient faced a significant neurological and cognitive decline in a short follow-up time frame, ultimately

Романтические отношения, сексуальность и близость между молодыми людьми и подростками с тяжелыми психическими заболеваниями: обзор литературы.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Лица с тяжелыми психическими заболеваниями (СМИ), включая шизофрение и психотические расстройства, часто сталкиваются с серьезными проблемами в развитии и поддержании романтических и интимных отношений. Несмотря на сильное стремление к общению и сексуальному выражению, эти люди часто сталкиваются с такими препятствиями, как общественное осуждение, когнитивные проблемы и психические симптомы, влияющие на социальное функционирование. В рамках существующих исследований основное внимание уделяется прежде всего общей социальной вовлеченности, а не специфическим сложностям ром

SUBJECT INDEX Volume 125 (JANUARY–JUNE, 2004)

Аннотация не предоставлена источником. Откройте карточку для перехода к публикации.

The effectiveness of mandala coloring on the psychological and physiological symptoms in adult hospitalized patients: a meta-analysis.

BackgroundHospitalization often imposes significant psychological and physiological demands on patients. Mandala coloring may help reduce these challenges. This meta-analysis aimed to evaluate the effectiveness of mandala coloring interventions across psychological and physiological symptoms in adult hospitalized patients.MethodsA comprehensive search was conducted using nine databases. Randomized controlled and controlled studies comparing mandala coloring with control groups were included. Data extraction was performed independently by two authors, and risk of bias was assessed using the Coc

Risk of fractures in half a million survivors of 20 cancers: a population-based matched cohort study using linked English electronic health records.

BACKGROUND: A history of multiple myeloma, prostate cancer, and breast cancer has been associated with adverse bone health, but associations across a broader range of cancers are unclear. We aimed to compare the risk of any bone fracture and major osteoporotic fractures in survivors of a wide range of cancers versus cancer-free individuals. METHODS: In this population-based matched cohort study, we used electronic health records from the UK Clinical Practice Research Datalink linked to hospital data. We included adults (aged ≥18 years) eligible for linkage, and we restricted the study start t

The work of managing multiple myeloma and its implications for treatment-related decision making: a qualitative study of patient and caregiver experiences.

BackgroundThe evolving nature of multiple myeloma (MM) therapies, including the introduction of novel oral agents, has produced a shift in the delivery of care from hospital to home. Within this context, patients and their caregivers are becoming increasingly engaged in the work of illness management, however the exact nature of this work as well as the ways in which this work informs treatment preferences and decisions within this population has not been explored. This qualitative study sought to develop an in-depth understanding of patient and caregiver experiences with different MM treatmen

Adaptation of Coping Together - a self-directed coping skills intervention for patients and caregivers in an outpatient hematopoietic stem cell transplantation setting: a study protocol.

BackgroundDespite numerous reports of significant distress and burden for hematopoietic stem cell transplantation (HSCT) patients and caregivers (CGs), HSCT-specific coping interventions remain rare. The few in use lack specificity and are often not easily accessible or cost-effective. Whereas the development of new interventions is resource-intensive, theory-informed adaptation of existing evidence-based interventions is promising. To date, no HSCT-specific intervention has relied on a formal adaptation approach.MethodsUsing the Center for Disease Control and Prevention's Map of Adaptation, t