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Older cancer patients' information and support needs surrounding treatment: An evaluation through the eyes of patients, relatives and professionals.

BackgroundProviding cancer patients with adequate treatment information is important for patients' health, well-being and satisfaction. Nurses play an important role in patient education. So far, few studies focused on the specific information needs of older cancer patients surrounding chemotherapy treatment. Given the growing incidence of cancer among older individuals, insight in these needs is crucial. This article describes the views of older cancer patients, their relatives and professionals on older patients' specific communication needs regarding chemotherapy treatment.MethodsA qualitat

Диабет мелитус и риск множественных склерозов: систематический обзор и метаанализ.

Множественные исследования указывают на потенциальную связь между множественным склерозом (MS) и сахарным диабетом (DM). Вместе с тем несоответствия в опубликованных публикациях, которые могут быть использованы в связи с различиями в статистических методах, размерах выборки и структуре исследования, привели к противоречивым выводам. Поэтому мы провели систематический метаанализ, с тем чтобы прояснить взаимосвязь между MS и DM и проинформировать о будущих механистических исследованиях. МЕТОДЫ: Мы провели всеобъемлющий поиск литературы в базах данных сети " Web of Science " , " Pu

Разработка исследования по изучению предпочтений пациентов на подкожных медицинских устройствах: включение научного консультирования и перспектив пациентов в органы здравоохранения.

В настоящем документе содержится описание планирования исследования о предпочтениях пациентов для оценки характеристик устройств для подкожной (СК) доставки высокой дозы/крупного объема (например, > 2 мл) лекарственных средств. Для уточнения характеристик и уровней при разработке протокола исследования преференций для изучения вопроса о том, что, по мнению пациентов с множественным склерозом (MS), имеет важное значение в том, что касается характеристик медицинских устройств для управления высокой дозой СК, использовались многочисленные источники, включая качественные опросы пациентов, привлече

AYAs' online information and eHealth needs: A comparison with healthcare professionals' perceptions.

BackgroundAdolescents and young adults (AYAs) diagnosed with cancer fulfill their cancer-related information needs often via the Internet. Healthcare professionals (HCPs) have a crucial role in guiding patients in finding appropriate online information and eHealth sources, a role that is often overlooked. Misperceptions of AYAs' needs by HCPs may lead to suboptimal guidance. We aimed to examine the extent to which AYAs' online information and eHealth needs corresponded with HCPs' perceptions of these needs.MethodsTwo cross-sectional online surveys (AYAs, n = 299; HCP, n = 80) on online informa

What matters most to patients with multiple myeloma? A Pan-European patient preference study.

INTRODUCTION: Given the rapid increase in novel treatments for patients with multiple myeloma (MM), this patient preference study aimed to establish which treatment attributes matter most to MM patients and evaluate discrete choice experiment (DCE) and swing weighting (SW) as two elicitation methods for quantifying patients' preferences. METHODS: A survey incorporating DCE and SW was disseminated among European MM patients. The survey included attributes and levels informed by a previous qualitative study with 24 MM patients. Latent class and mixed logit models were used to estimate the DCE a

A review of big data and medical research.

Universally, the volume of data has increased, with the collection rate doubling every 40 months, since the 1980s. "Big data" is a term that was introduced in the 1990s to include data sets too large to be used with common software. Medicine is a major field predicted to increase the use of big data in 2025. Big data in medicine may be used by commercial, academic, government, and public sectors. It includes biologic, biometric, and electronic health data. Examples of biologic data include biobanks; biometric data may have individual wellness data from devices; electronic health data include t

Exploring the characteristics of conversational agents in chronic disease management interventions: A scoping review.

ObjectiveWith the increasing global burden of chronic diseases, there is the potential for conversational agents (CAs) to assist people in actively managing their conditions. This paper reviews different types of CAs used for chronic condition management, delving into their characteristics and the chosen study designs. This paper also discusses the potential of these CAs to enhance the health and well-being of people with chronic conditions.MethodsA search was performed in February 2023 on PubMed, ACM Digital Library, Scopus, and IEEE Xplore. Studies were included if they focused on chronic di

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… Another factor to consider is that, at the time of writing, advances in the application of large language models offer significant opportunities in various fields, including healthcare. However, this has not yet been reflected in the available literature. …

Proceedings of ICIS SGCR-WIRES 2024, held jointly with the 23rd International Cancer Imaging Society Annual Conference, collaborating with the Singapore Radiological Society and College of Radiologists Singapore.

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… language model (PP-LLM) to improve the clinical information on musculoskeletal MRI radiology request forms (RRFs) and automate protocoling. … Large Language Models like ChatGPT offer a promising solution to automate the conversion of free-text CT scan reports into structured formats, enhancing communication without increasing radiologists' effort. …

Change in Neurocognitive Function in Patients Who Receive CAR-T Cell Therapies: A Steep Hill to Climb.

Immunotherapy with chimeric antigen receptor T (CAR-T) cell therapies has brought substantial improvement in clinical outcomes in patients with relapsed/refractory B cell neoplasms. However, complications such as cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS) limit the therapeutic efficacy of this treatment approach. ICANS can have a broad range of clinical manifestations, while various scoring systems have been developed for its grading. Cognitive decline is prevalent in CAR-T therapy recipients including impaired attention, difficulty in it

Структурные и функциональные изменения мозга у пациентов с гиперакузисом: систематический анализ МРТ.

Гиперакусис — это состояние, характеризующееся возросшей чувствительностью к повседневным звукам, часто приводящее к дискомфорту, боли и социальной изоляции. Несмотря на его значительное воздействие на психическое здоровье и качество жизни, основные нейронные механизмы по-прежнему плохо понимаются. Этот систематический обзор позволяет оценить исследования на основе магнитного резонансного изображения (MRI), в ходе которых изучаются структурные, функциональные и связанные с подключением изменения мозга у лиц с гиперакусизмом. В общей сложности было проведено 11 исследований, в ходе которых испо

Prevalence and determinants of polypharmacy among cancer patients: a systematic review and meta-analysis.

BACKGROUND: Polypharmacy (PP) is a rising clinical challenge among patients with a cancer diagnosis. Uncertainty remains regarding its exact burden, exact prevalence estimates, and definitional themes in this vulnerable cohort of patients. METHODS: We searched PubMed, EMBASE, Scopus, the Cochrane Database of Systematic Reviews (CDSR), and Google Scholar, for studies published between 2000 and 2025 for eligible studies reporting on polypharmacy in cancer patients. These were critically appraised for eligibility and inclusion by two independent reviewers. Using quality and random effect models,

Cancer-related cognitive impairment in patients with hematologic malignancies after CAR T cell therapy: a systematic review and meta-analysis of prevalence.

PURPOSE: Cancer-related cognitive impairment is one of the symptoms of neurotoxicity among patients receiving chimeric antigen receptor (CAR) T cell therapy. Evidence of the overall estimated prevalence of cancer-related cognitive impairment following CAR T-cell therapy among patients with hematologic malignancies at short-term and long-term follow-ups is lacking. This review aimed to summarize the cognitive functioning status and estimate the prevalence of cancer-related cognitive impairment at follow-up within 1 month, 1 to 12 months, and > 12 months after CAR T cell therapy. METHODS: PubMe

Искусственный интеллект, видоизменяющий парадигму гематологического диагноза и лечения злокачественных заболеваний: от статической оценки до динамического управления точностью.

Искусственный интеллект (ИИ) все чаще изучается в качестве инструмента содействия более точному и динамичному управлению диагностикой и лечением гематологов. В отличие от предыдущих обзоров, в которых основное внимание уделялось отдельным типам заболеваний или изолированным технологическим путям, в настоящем документе содержится всеобъемлющий обзор текущих прикладных программ АИШ и последних достижений в области диагностики, классификации, оценки прогнозов и принятия решений по лечению лейкемии, лимфомы, множественной миэломы и миэлодиспластических синдромов. Она охватывает ключевые технически

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… language model and clinical decision support phase, as illustrated in Fig. 1 . … The phase of large language models and clinical decision support (2024–present) Large language models (LLMs), exemplified by GPT-4, are being explored as potentially useful tools for clinical decision support. …

Positron Emission Tomography-Derived Radiomics and Artificial Intelligence in Multiple Myeloma: State-of-the-Art.

Multiple myeloma (MM) is a heterogeneous neoplasm accounting for the second most prevalent hematologic disorder. The identification of noninvasive, valuable biomarkers is of utmost importance for the best patient treatment selection, especially in heterogeneous diseases like MM. Despite molecular imaging with positron emission tomography (PET) has achieved a primary role in the characterization of MM, it is not free from shortcomings. In recent years, radiomics and artificial intelligence (AI), which includes machine learning (ML) and deep learning (DL) algorithms, have played an important rol

Феноменологическое понимание старения с множественным склерозом.

СПРАВОЧНАЯ ИНФОРМАЦИЯ И ЗАДАЧИ: По мере увеличения продолжительности жизни сообщества, занимающегося множественным склерозом (МС), необходимы новые новшества и понимание того, что такое возраст «здорового». Опираясь на ряд направлений работы по изучению значения и опыта старения с нетрудоспособным состоянием и показав, как и почему люди, стареющие с MS, по-разному ощущают это явление, эта газета развивает литературу по вопросам старения и инвалидности путем (пере) концептуализации того, что «благосостояние» означает для людей, стареющих с MS, и как благополучие может быть повышено или поставле

Design specifications for biomedical virtual twins in engineered adoptive cellular immunotherapies.

In (immune)oncology, virtual twins (VTs) offer patient-individual decision support. Nevertheless, current VTs do not incorporate the unique properties of engineered adoptive cellular immunotherapies (eACIs). Here, we outline the minimal design specifications for VTs for engineered ACIs (eACI-VTs) to model the complex interplay between cell product and patient physiology. We motivate utilizing VTs in eACIs to provide decision support and reflect on how eACI-VTs can support the widespread use of eACIs.

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… Recently, the advancement of large language models in natural language processing has led to their application in genomics and single-cell studies. The first pre-trained language models for intracellular biology are available. …

Residential green spaces and neurodegenerative diseases in middle-aged and older adults: a systematic review and dose-response meta-analysis.

BackgroundThe potential protective role of residential green space against neurodegenerative diseases (NDs) is a topic of growing interest, yet evidence remains inconsistent. This systematic review and meta-analysis aimed to synthesize the current evidence on this association in middle-aged and older adults.MethodsWe searched PubMed, Embase, Web of Science, and the Cochrane Library through March 15, 2025, for observational studies that evaluated the association between objectively measured residential green space and the incidence of NDs in middle-aged and older adults. Risk of bias was assess

Proteomic alterations in ovarian cancer-Predicting residual disease status using artificial intelligence and SHAP-based biomarker interpretation.

IntroductionHigh-grade serous ovarian cancer (HGSOC) is the most aggressive and prevalent subtype of ovarian Treatment outcomes are significantly influenced by residual disease status following neoadjuvant chemotherapy (NACT). Predicting residual disease before surgery can improve patient stratification and personalized treatment strategies.MethodsThis study analyzed pre-NACT proteomic data from 20 HGSOC patients treated with NACT. Patients were categorized into two groups based on surgical outcomes: no residual disease (R0, n = 14) and suboptimal residual disease (R1, n = 6). From an initial

Longitudinal effects of inpatient music therapy dosage on pain intensity and opioid utilization among patients with hematologic or oncologic conditions: a retrospective cohort study.

PurposeSeveral studies support the benefits of music therapy (MT) for improving symptoms within a single session among patients with hematologic/oncologic conditions, but none have examined real-world longitudinal impacts. This study evaluated whether there was a dose-response relationship between MT intervention exposure and longitudinal changes in pain intensity and opioid utilization.MethodsA retrospective electronic health record review was conducted of 283 hospital admissions among adult patients with hematologic/oncologic conditions who received MT and either reported pain ≥ 4/10 on the

Community-based adaptation of early adolescent skills for emotions for urban adolescents and caregivers in New York City.

An increasing number of studies have sought to explore the applicability of scalable mental health interventions to bridge the adolescent mental health treatment gap. This study aimed to adapt the World Health Organization's mental health intervention Early Adolescent Skills for Emotion (EASE) for urban communities in New York City (NYC). Following the mental health Cultural Adaptation and Contextualization for Implementation framework and in collaboration with three Brooklyn community-based organizations and the NYC Mayor's Office of Community Mental Health, the intervention was intensively w