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Аутоиммунные подстрекательские заболевания центральной нервной системы: прогресс в клинических испытаниях и иммунотерапевтических стратегиях.

Аутоиммунные подстрекательские заболевания центральной нервной системы (КНС), включая аутоиммунный энцефалит (АЭ), расстройство спектра нейромиелита оптика (НМОСД) и миелин олигодендроцита гликопротеина, связанного с антителами (МОГАД), за последние два десятилетия возникли как отдельные нозологические организмы с конкретными целями автоантиорганизма, клинические фенотипы и лечебные реакции. Признание их аутоиммунной основы привело к тому, что руководство перешло от в значительной степени вспомогательных и эмпирических подходов к иммунотерапии на основе механизмов. Однако эти условия остаются

Challenges in the cultural adaptation of the German Myeloma Patient Outcome Scale (MyPOS): an outcome measure to support routine symptom assessment in myeloma care.

BACKGROUND: Patients with multiple myeloma report more problems with quality of life (QoL) than other haematological malignancies over the course of their incurable illness. The patient-centred Myeloma Patient Outcome Scale (MyPOS) was developed to assess and monitor symptoms and supportive care factors in routine care. Our aim was to translate and culturally adapt the outcome measure to the German context, and to explore its face and content validity. METHODS: Translation and cultural adaptation following established guidelines used an exploratory, sequential mixed method study design. Steps

Multiple myeloma as a challenging multidimensional random process: a data-driven web-based application for treatment selection.

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

Holding space: a participatory exploration of first nations health professionals' experiences supporting cancer patients through hospital-based treatment.

BackgroundColonial mechanisms continue to inflict trauma on Aboriginal and Torres Strait Islander peoples, the First Nations peoples of Australia. Consequence of this trauma is a disproportionately high rate of cancer mortality experienced among First Nations peoples and inequities in access to cancer services that are culturally responsive. There is a critical need for cancer care that supports First Nations peoples' holistic health and wellbeing. Engagement with First Nations health staff is a known element of culturally safe healthcare, however the experiences of and challenges facing First

A Rebalancing of Financial Valuations and Expectations Moving Forward in the Telehealth Sector as the United States Moves Toward a Post-COVID-19 Reality.

The telehealth sector of health care delivery experienced significant growth at the start of the pandemic as web-based care quickly became essential for the ongoing safety of patients and health care providers, such as clinicians and other health care professionals. After vaccines were introduced, however, telehealth companies lost value as the need for web-based care appeared to lessen. Presently, both existing telehealth companies and new entrants to the space are seeking ways to innovate, gain investor and customer buy-in, and overcome competitors. New companies are hoping to be seen not as

The effect of anticancer treatment on cancer patients with COVID-19: A systematic review and meta-analysis.

BackgroundThe relationship between cancer and COVID-19 has been revealed during the pandemic. Some anticancer treatments have been reported to have negative influences on COVID-19-infected patients while other studies did not support this hypothesis.MethodsA literature search was conducted in WOS, PubMed, Embase, Cochrane Library, CNKI and VIP between Dec 1, 2019 and Sept 23, 2020 for studies on anticancer treatments in patients with COVID-19. Cohort studies involving over 20 patients with cancer were included. The characteristics of the patients and studies, treatment types, mortality, and ot

Rheumatoid Arthritis Real-world Cohort Study in China (ReALSA): protocol for a multicentre prospective, longitudinal cohort study.

INTRODUCTION: The burden of rheumatoid arthritis (RA) is profound, although treated with the treat-to-target strategy for RA patients according to the two most influential organisations for rheumatology worldwide. The need to timely achieve the control of disease activity for RA patients, especially for those difficult-to-treat individuals, is still unmet. Besides, the data on the diagnosis and prognosis of RA-related complications or comorbidities such as sarcopenia, cardiovascular diseases (CVD), malignancies and infections in large real-world cohorts are still limited. Therefore, the aim of

Predictive Modeling for Spinal Metastatic Disease.

Spinal metastasis is exceedingly common in patients with cancer and its prevalence is expected to increase. Surgical management of symptomatic spinal metastasis is indicated for pain relief, preservation or restoration of neurologic function, and mechanical stability. The overall prognosis is a major driver of treatment decisions; however, clinicians' ability to accurately predict survival is limited. In this narrative review, we first discuss the NOMS decision framework used to guide decision making in the treatment of patients with spinal metastasis. Given that decision making hinges on prog

Cross-Cultural Validation of the COmprehensive Score for Financial Toxicity (COST) Measure in an Australian Sample.

IntroductionThe COmprehensive Score for Financial Toxicity (COST) measure developed in the United States measures the financial impact resulting from cancer and its treatment. This paper reports on an Australian cross-cultural validation of the COST measure.MethodsParticipant eligibility criteria included individuals aged ≥ 18, undergoing or completed primary treatment for cancer. Immediate family members of patients were also eligible for Phase 1. Face and content validity were assessed through concurrent interviews and a brief survey (Phase 1). The subsequent revised version of COST was fiel

How do Internal Medicine Residents from Different Backgrounds Make Subspecialty Career Choices? A Qualitative Analysis.

PurposeMedical career decisions are complex. Gender and racial disparities remain among internal medicine (IM) subspecialty fellows, particularly in procedural subspecialties. This qualitative study aims to thematically explore factors that influence IM resident subspecialty career choice, with a focus on factors specific to women and UIM trainees to better understand existing disparities. This is the first study to explore IM residents own stated reasons to subspecialize into various fields.MethodsWe conducted virtual focus groups with 37 IM residents from multiple institutions, organized by

Pertussis in Individuals with Co-morbidities: A Systematic Review.

Pertussis is a highly contagious disease of the respiratory tract caused by Bordetella pertussis. Although the burden of pertussis is highest in children, available data suggests that pertussis in the elderly and those with underlying chronic conditions or illnesses can result in significant morbidity, mortality and costs. We undertook a comprehensive review to assess the association between pertussis and chronic conditions/illnesses. A search was undertaken on 17 June 2019 across EMBASE, Medline and BIOSIS. Citations were limited to those in English, in humans and published since 1 January 19

The concept of multidimensional frailty in geriatric oncology: a systematic scoping review.

BACKGROUND: One of the major challenges in geriatric oncology is to estimate the risk-benefit balance of any therapeutic proposal for each patient and frailty is one of the key components of Comprehensive Geriatric Assessment (CGA)and can also be assessed using stand-alone screening tools that predicts functional decline, treatment-related complications and mortality. This study aimed to provide an overview of the existing literature on the concept of multidimensional frailty in older adults with cancer, to clarify the dimensions included in multidimensional frailty, and the components of frai

Contemporary Perspectives on Chronic Renal Disorders.

The prevalence of renal diseases and its associated burden on healthcare have tremendously risen in the past few years. From simple markers assessing kidney function, current renal research delves into understanding the diseases at the cellular and molecular levels and not just at treating, but at improving quality of life, arresting progression and providing personalized diagnostics and therapy. This narrative review highlights the improvements in diagnostic applications of kidney disease and briefly discusses a few notable biomarkers emphasizing the high throughput omics technologies, as wel

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… Use of Large Language Models, AI, and Machine Learning Tools AI‐based tools (e.g., Grammarly and scholarcy.com ) were used for language editing and summarizing existing literature. The authors take full responsibility for the content and accuracy of the manuscript. …

Research trends and emerging frontiers of tumor-associated macrophages in gastric cancer: a bibliometric analysis.

BackgroundTumor-associated macrophages (TAMs) constitute pivotal cellular constituents within the tumor microenvironment (TME), exerting profound influences on gastric cancer (GC) pathogenesis and progression. This bibliometric investigation systematically evaluates worldwide research trends, delineates predominant contributing entities, and elucidates evolving research frontiers in this domain.MethodsThis study conducted a comprehensive bibliometric analysis utilizing data extracted from the Web of Science Core Collection on December 18, 2024. For analytical processing and visualization, we e

Exploring the role of Transcranial magnetic stimulation in cognitive impairment and sarcopenia: a narrative review.

Sarcopenia and cognitive impairment (CI) are major contributors to disability among the elderly, diminishing their quality of life and placing also a significant burden on healthcare systems and societies. There are currently no effective treatments for sarcopenia and CI. Interestingly, recent research has revealed a strong connection between these two conditions. Although the exact mechanisms of this relationship remain unclear, factors such as chronic inflammation, mitochondrial oxidative stress, and impaired communication through the muscle-brain axis have been put forward. Transcranial mag

Proceedings of Patient Reported Outcome Measure's (PROMs) Conference Oxford 2017: Advances in Patient Reported Outcomes Research : Oxford, UK. 8th June 2017.

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Evidence of brain-derived neurotrophic factor in ameliorating cancer-related cognitive impairment: A systematic review of human studies.

Brain-derived neurotrophic factor (BDNF) plays an essential role in neurogenesis and neuroplasticity and may be a key protein in cancer-related cognitive impairment (CRCI). This systematic review assessed the relationship between BDNF biomarkers and neurocognitive outcomes in cancer patients and survivors. A search in PubMed, Scopus, and PsycINFO yielded 638 articles, of which 26 were eligible. Fourteen (54 %) studied BDNF protein levels while 15 (58 %) analyzed BDNF rs6265 polymorphism. Of the nine observational studies reporting BDNF plasma/serum levels, five (56 %) exhibited a positive asso

Productivity losses in patients with newly diagnosed multiple myeloma following stem cell transplantation and the impact of maintenance therapy.

OBJECTIVE: This study examined productivity losses in European patients with newly diagnosed multiple myeloma (NDMM) undergoing autologous stem cell transplantation (ASCT), to better understand and model the impact of NDMM and lenalidomide maintenance therapy on productivity from a patient and societal perspective. METHODS: A cross-sectional online patient survey was conducted across the UK, Germany, France, Spain and Italy. A partitioned survival model was used to estimate productivity loss and the impact of maintenance therapy, using human capital (HC) and friction cost approaches. RESULTS

Помимо генов: 3D-архитектура Эпизвита и Орион с помощью платформы "Орион" открывает общую биологию по всему ME/CFS, длинный COVID, ПТСР, ревматоидный артрит и множественный склероз.

КОЛИЧЕСТВО: Myalgic ensphalomyelit/хронический синдром усталости (ME/CFS), длинный COVID (LC19), посттравматическое стрессовое расстройство (PTSD), ревматоидный артрит (RA) и множественный склероз (MS) являются клинически отличными расстройствами, характеризующимися значительным совпадением симптомов, включая стойкую усталость, когнитивное расстройство, автономную дисфункцию и регулирование иммунной дисфункции. Хотя эти условия различаются в плане диагностики и клинического представления, их основополагающие биологические механизмы по-прежнему плохо понимаются и могут включать совпадающие пути

Помимо типичного синдрома нейротоксичности, связанного с иммунным эффектом, характеризирующего неиммунный эффект, связанный с нейротоксичным синдромом нейротоксичности, при ретроспективном анализе химерика антигенного рецептора Т-клеток.

ЦЫПЛЕНОК: Химерическая антигенная терапия (CAR) Т-клеточная терапия революционизировала лечение рецидивных/отверженных гематологовых магнатов. В то время как синдром нейротоксичности, связанный с иммунным эффектом клеток (ИКАНС), является широко признанным осложнением, расширение клинического применения выявило явные неврологические осложнения, не связанные с ИКАНС, которые бросают вызов стандартным подходам к диагностике и управлению. Мы характеризуем клинические особенности и результаты этих неклассических презентаций. МЕТОДЫ: Был проведен ретроспективный анализ 357 - пациенты, получающие ко