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Telerehabilitation's Safety, Feasibility, and Exercise Uptake in Cancer Survivors: Process Evaluation.

BackgroundAccess to exercise for cancer survivors is poor despite global recognition of its benefits. Telerehabilitation may overcome barriers to exercise for cancer survivors but is not routinely offered.ObjectiveFollowing the rapid implementation of an exercise-based telerehabilitation program in response to COVID-19, a process evaluation was conducted to understand the impact on patients, staff, and the health service with the aim of informing future program development.MethodsA mixed methods evaluation was completed for a telerehabilitation program for cancer survivors admitted between Mar

Radiomics Analysis for Multiple Myeloma: A Systematic Review with Radiomics Quality Scoring.

Multiple myeloma (MM) is one of the most common hematological malignancies affecting the bone marrow. Radiomics analysis has been employed in the literature in an attempt to evaluate the bone marrow of MM patients. This manuscript aimed to systematically review radiomics research on MM while employing a radiomics quality score (RQS) to accurately assess research quality in the field. A systematic search was performed on Web of Science, PubMed, and Scopus. The selected manuscripts were evaluated (data extraction and RQS scoring) by three independent readers (R1, R2, and R3) with experience in r

Calculated globulin (CG) as a screening test for antibody deficiency.

Calculated globulin (total protein - albumin) is usually tested as part of a liver function test profile in both primary and secondary care and determines the serum globulin concentration, of which immunoglobulins are a major component. The main use hitherto of calculated globulin is to detect paraproteins when the level is high. This study investigated the potential to use low levels of calculated globulin to detect antibody deficiency. Serum samples with calculated globulin cut-off < 18 g/l based on results of a pilot study were collected from nine hospitals in Wales over a 12-month period.

A Single Center Study Investigating Clinical Outcomes of Testing for Multiple Myeloma and Immune Deficiency at Low Globulin Levels

Background Both primary (e.g. common variable immune deficiency, CVID) and secondary immune deficiency as well as multiple myeloma (MM) require medical intervention and treatment delay can exacerbate morbidity. This study investigated the potential importance of low levels of calculated globulin to detect immune deficiency and MM associated with immunoparesis (light chain, non-secretory MM). Methods One hundred and thirty-nine patient serum samples from community physicians and outpatient clinics for liver function tests with low calculated globulin (Results Approximately 47% of patients in th

Epidemiology and reporting of osteoporotic vertebral fractures in patients with long-term hospital records based on routine clinical CT imaging.

UNLABELLED: Osteoporotic vertebral fractures signify an increased risk of future fractures and mortality and can manifest the diagnosis of osteoporosis. We investigated the prevalence of vertebral fractures in routine CT of patients with long-term hospital records. Three out of ten patients showed osteoporotic vertebral fractures (VFs) corresponding to the highest rates reported in European population-based studies. INTRODUCTION: VFs are a common manifestation of osteoporosis, which influences future fracture risk. Their epidemiology has been investigated in population-based studies. However,

Establishing Hematopoietic Stem Cell Transplant Unit in Resource Limited Setting: A Critical Analysis of Indian Council of Medical Research 2017 Guidelines.

The scope and application of hematopoietic stem cell transplantation are increasing. With advancement in science and close cooperation of health centers, HSCT units are coming up in new developing and underdeveloped countries. India hosts many HSCT units and often provides financially viable option for HSCT to foreign patients as well. Recently Indian Council of Medical Research (ICMR) issued a guideline about HSCT unit in India. This review article discusses establishment of new HSCT unit in resource limited setting. Subsequent implication of ICMR guideline has been done.

The complex price setting and reimbursement of non-industrial advanced therapy medicinal products.

BACKGROUND: Advanced Therapy Medicinal Products (ATMPs) developed under the Hospital Exemption (HE) offer innovative treatments for patients with unmet medical needs, but their pricing and reimbursement (P&R) remain fragmented and poorly understood. This paper examines the P&R landscape for HE-ATMPs developed by academic developers in Spain, based on the Spanish costing guideline and extends the analysis to HE-ATMPs developed by academic and non-profit developers across Europe. METHODS: We conducted a mixed-method, exploratory study combining literature review with interviews and email enquiri

The level of knowledge about palliative care in Iranian patients with cancer.

BackgroundPatient awareness plays an important role in integrating palliative care into the patient care process. Lack of awareness can create a negative attitude towards palliative care and affect patients' decisions during the treatment process. The present study was conducted to determine the level of knowledge about palliative care in Iranian patients with cancer.MethodsThe descriptive study was conducted with a convenience sample of 103 cancer patients admitted to an oncology center in Yazd, Iran, A three-part questionnaire including demographic information, sources of palliative care inf

Double Relapsed and/or Refractory Multiple Myeloma: Clinical Outcomes and Real World Healthcare Costs.

Double relapsed and/or refractory multiple myeloma (DRMM), MM that is relapsed and/or refractory to bortezomib and lenalidomide, carries a poor prognosis. The healthcare costs of DRMM have not previously been reported. We analyzed detailed medical resource utilization (MRU) costs, drug costs and outcomes for 39 UK patients receiving standard DRMM therapy. Median OS in this cohort was 5.6 months. The mean cost of DRMM treatment plus MRU until death was £23,472 [range: £1,411-£90,262], split between drug costs £11,191 and other resource use costs £12,281. The cost per assumed quality-adjusted li

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… This study was appropriately registered using the clinical audit project proposal system at Oxford University Hospitals NHS Trust, UK. … The Clinical Audit Lead reviewed and approved the proposal, and in line with the UK NHS National Research Ethics Service (NRES) guidance, deemed it not to require IRB or ethics committee approval. …

Interpretability and fairness evaluation of deep learning models on MIMIC-IV dataset.

The recent release of large-scale healthcare datasets has greatly propelled the research of data-driven deep learning models for healthcare applications. However, due to the nature of such deep black-boxed models, concerns about interpretability, fairness, and biases in healthcare scenarios where human lives are at stake call for a careful and thorough examination of both datasets and models. In this work, we focus on MIMIC-IV (Medical Information Mart for Intensive Care, version IV), the largest publicly available healthcare dataset, and conduct comprehensive analyses of interpretability as w

Понимание отказа от долгосрочных условий с помощью электронных медицинских записей: обзор скопирования.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Множественные долгосрочные условия (ДТЦ) требуют сложных и продолжительных режимов лечения. Ремиссия в долгосрочных условиях (ДКН) имеет важное значение для понимания динамики заболеваний и оценки эффективности лечения. Электронные медицинские записи (ЭПЧ) все чаще используются для мониторинга клинических результатов, однако вопрос о том, каким образом определяется ремиссия в рамках ЭПЧ, остается неясным. ЦЕЛЬ: Цель настоящего исследования заключалась в обобщении и обобщении предыдущей литературы о том, каким образом ремиссия ЛТК определяется в ЭПЧ.МЕТОДЫ: Систематически

European Cancer Organisation Essential Requirements for Quality Cancer Care: Hematological malignancies.

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Real-World Outcomes of Patients with Monoclonal Gammopathy of Renal Significance.

BACKGROUND: Monoclonal gammopathy of renal significance (MGRS) is a rare group of renal disorders caused by monoclonal immunoglobulins from non-malignant B-cell or plasma cell clones, with distinct amyloid (MGRS-A) and non-amyloid (MGRS-NA) subtypes. Although these are often grouped together, whether they share similar clinical phenotypes and outcomes is uncertain. We therefore examined similarities and differences between these subtypes in a contemporary real-world cohort. METHODS: We performed a single-centre retrospective evaluation of 17 biopsy-confirmed MGRS patients (10 MGRS-A, 7 MGRS-N

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… This study was conducted as a service evaluation, registered under the institutional clinical audit framework, and did not require formal ethical approval. … Statement of Ethics This study was conducted as a service evaluation, registered under the institutional clinical audit framework, and did not require formal ethical approval. Patients provide institutional consent for their anonymised data to be used for service evaluations and improvements. …

Poster Abstracts

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Completeness Evaluation of Adult-Population-Based Cancer Registries: A Systematic Review.

Population-based cancer registries are crucial for tracking cancer trends, supporting research, guiding policy decisions, and ensuring efficient healthcare resource allocation. However, their effectiveness relies heavily on data quality, specifically the completeness of the cancer registration process.Background/objectivesThis systematic review aims to identify the methods used by adult population-based cancer registries worldwide to assess the completeness of their data. It also considered the significant role of high-quality data in method selection and the significant challenges of data han

Воздействие моделей перорального ухода на профилактику перорального слизистого слизняка, вызванного высокими дозами мельфалана у пациентов, страдающих АЦТ.

Высокодозированные мелфаланы (МЭЛ) в сочетании с аутологической трансплантацией стволовых клеток (ASCT) эффективно лечат множественные миеломы (MM), но часто вызывают оральный слизистой мукосит (OM), влияющий на исход пациента. Цель этого исследования заключается в оценке эффективности усовершенствованной модели орального ухода в деле предотвращения ОМ, вызванного МЭЛ. В этом ретроспективном исследовании были рассмотрены медицинские записи 87 больные с MM, которые прошли ACCT в первой родственной больнице Сокхоуского университета в декабре 2019 и февраль 2022. В соответствии с протоколами о пе

Эффективность дыхательных упражнений с симптомами мочеиспускания, мышечной активностью и силой у женщин с множественным склерозом и недержанием мочевого мозга - протокол исследования для случайного контролируемого исследования.

Недержание мочевины (УИ) является распространенным и изнурительным заболеванием среди людей с множественным склерозом (МС) и более широко распространено среди женщин. За последнее десятилетие были проведены многочисленные исследования по изучению последствий обучения мышечных мышц тазовому полу (ПФМТ) в качестве средства лечения ИП у людей с НР. MS негативно влияет на легочную функцию даже на ранних стадиях заболевания, и у людей с MS может возникнуть дыхательная слабость мышц. Учитывая синергию между мышцами тазового пола (PFM) и респираторными мышцами, в ходе этого испытания будет проведена

Estimating cancer incidence in Uganda: a feasibility study for periodic cancer surveillance research in resource limited settings.

BackgroundPopulation based cancer registries (PBCRs) are accepted as the gold standard for estimating cancer incidence in any population. However, only 15% of the world's population is covered by high quality cancer registries with coverage as low as 1.9% in settings such as Africa. This study was conducted to assess the operational feasibility of estimating cancer incidence using a retrospective "catchment population" approach in Uganda.MethodsA retrospective population study was conducted in 2018 to identify all newly diagnosed cancer cases between 2013 and 2017 in Mbarara district. Data wer

ESICM LIVES 2016: part two : Milan, Italy. 1–5 October 2016

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Применение цифровой технологии в области управления качеством медицинских сестер: обзор аналитического исследования.

Справочная технология включает в себя такие информационно-коммуникационные средства, как электронные медицинские записи, износимые устройства и искусственный интеллект, которые стали важной движущей силой оптимизации управления качеством медицинских сестер. Вместе с тем существующие исследования по применению цифровых технологий в области управления качеством ухода за больными носят фрагментарный характер с нечеткими концептуальными границами и отсутствием систематического картирования фактических данных. Цель этого аналитического обзора состоит в том, чтобы систематически картировать прикладн

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… McVey L Alvarado N Keen J Greenhalgh J Mamas M Gale C Institutional use of national clinical audits by healthcare providers J Eval Clin Pract 2021 27 143 50 10.1111/jep.13415 32307857 McVey L, Alvarado N, Keen J, Greenhalgh J, Mamas M, Gale C, et al. … Institutional use of national clinical audits by healthcare providers. J Eval Clin Pract. 2021;27:143–50. 10.1111/jep.13415. 32307857 10.1111/jep.13403 19. …