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Влияние ориентированной на семью gamification на самоуправление людьми с множественным склерозом: протокол исследования смешанных методов.

ВВЕДЕНИЕ: Множественный склероз (МС) является хроническим заболеванием центральной нервной системы, которое затрагивает миллионы людей во всем мире, в том числе людей в Иране. Она затрагивает главным образом молодежь, что приводит к возникновению биопсихосоциальных проблем с непредсказуемыми симптомами. Самоуправление имеет решающее значение, но сопряжено с трудностями из-за отсутствия окончательного лечения. Новые подходы, такие, как медико-санитарные меры, в частности gamification, направлены на более эффективное привлечение пациентов. Хорошо продуманная gamification может оказать позитивное

Developing a Preliminary Conceptual Framework for Guidelines on Inclusion of Patient Reported-Outcome Measures (PROMs) in Clinical Quality Registries.

PurposePatient-centred and value-based health-care organisations are increasingly recognising the importance of the patient perspective in the measurement and evaluation of health outcomes. This has been primarily implemented using patient-reported outcome measures (PROMs). Clinical quality registries (CQRs) are specifically designed to improve direct clinical care, benchmark health-care provision and inform health service planning and policy. Despite CQRs having incorporated the patient perspective to support the evaluation of health-care provision, no evidence-based guidelines for inclusion

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… The Dutch Institute for Clinical Auditing in the Netherlands, established in 2011, facilitates the development and maintenance of national outcomes registries around various medical conditions. 7 Acute stroke registries have been established in Sweden, Germany, Canada, Australia, and many other countries … The Dutch institute for clinical auditing . Available from: https://dica.nl/ . Accessed 12 5 , 2019 . 35679436 8. Brandal A , Eriksson M , Glader EL , Wester P . Effect of early supported discharge after stroke on patient reported outcome based on the Swedish Riksstroke registry . …

Understanding cancer survivors' reasons to medicate with cannabis: A qualitative study based on the theory of planned behavior.

BackgroundPrior to nonmedical cannabis legalization in Canada, individuals were only able to access cannabis legally through licensed producers with medical authorization. Now with an additional legal access system designed for nonmedical purposes, it is unclear what factors influence cancer survivors' decisions to medicate or not medicate cannabis as a complementary therapy to alleviate their cancer symptoms.MethodsWe recruited cancer survivors via social media. Interested individuals were purposively sampled to ensure maximization in terms of age, sex, and province of residence. Constructs o

Воздействие телереабилитационного вмешательства пилатеса через Интернет на людей с множественным склерозом: протокол для случайного контролируемого испытания.

Физическая активность (ПА) была рекомендована при множественном склерозе (MS) для поддержания хорошей физической пригодности и психического здоровья, снижения степени серьезности симптомов и риска рецидива, а также улучшения качества жизни. Пилатесы были предложены в качестве идеального ПА для регулирования физических, когнитивных и психологических симптомов MS и в качестве полезного метода поддержания и улучшения баланса и походки. ЦЕЛЬ: В настоящем документе представлен протокол исследования, целью которого является оценка эффективности в физической области (особенно сбалансированности и пох

The role of funding and policies on innovation in cancer drug development.

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Global inequalities in tracheal, bronchus, and lung cancer care quality from 1990 to 2021.

Tracheal, bronchus, and lung cancer remains a major global cancer burden, but cross-national comparisons using composite proxy indicators are limited. Using Global Burden of Disease 1990-2021 estimates, we constructed a quality-of-care index (QCI) from incidence, mortality, prevalence, and disability outcomes; assessed temporal and geographic patterns; modeled associations with linear mixed models; and compared older adults with the overall population. Age-standardized incidence and death rates declined globally, but QCI remained highly unequal across 204 countries. QCI was higher in high-deve

Generic Anticancer Drugs of the Jan Aushadhi Scheme in India and Their Branded Counterparts: The First Cost Comparison Study.

Introduction In India, the costs of cancer drugs are exorbitant and cause significant financial toxicity to the affected patient and their family members. Considering this, Jan Aushadhi pharmacy stores were established across the country by the government of India with the objective of providing cheap generic medicines to patients. The objective of this study was to perform a cost comparison study of generic chemotherapeutic drugs provided through Jan Aushadhi pharmacies versus their branded counterparts. This will help patients and physicians get first-hand information on the cost variation b

Framework for integrating electronic patient-reported data in routine cancer care: an Oncology Intake Questionnaire.

ObjectiveAs part of ongoing implementation of electronic patient-reported outcome tools at the Dana-Farber Cancer Institute, here we describe the development of the electronic New Patient Intake Questionnaire.Materials and methodsThe original New Patient Intake Questionnaire includes a review of symptoms, oncology history, family history, health behaviors, health and social status, health literacy and numeracy, which was modified for integration into the EHR using content determination, build and configuration, implementation, analytics, and interventions. The engagement of key stakeholders, i

Воздействие электростимуляции Тибиальной нервы на пациентов с фекалийной непрерывностью: систематический обзор.

Фекалическая недержание (FI) — это состояние, характеризующееся недобровольной потерей стула в результате неспособности контролировать сфинктер и нейромускульные механизмы, ответственные за непрерывность. В качестве лечебной альтернативы при лечении FI использовалась стойкая электрическая стимуляция заднего берцового нерва (запчасти голени) (PTNS). Цель этого исследования заключалась в изучении эффективности. Систематический обзор был проведен в соответствии с рекомендациями и критериями, изложенными в пунктах " PRISMA " (Предпочтительное руководство по представлению отчетности по си

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… “A Prospective Clinical Audit of Two Neuromodulatory Treatments for Faecal Incontinence: Sacral Nerve Stimulation and Percutaneous Tibial Nerve Stimulation.” Surgery Today 44, no. 6: 1131–1137. 10.1007/s00595-013-0684-9. Hotouras, A. , Thaha M. A., Boyle D. J., et al. 2012. …

Pamidronate disodium for palliative therapy of feline bone-invasive tumors.

This study sought to quantify in vitro antiproliferative effects of pamidronate in feline cancer cells and assess feasibility of use of pamidronate in cats by assessing short-term toxicity and dosing schedule in cats with bone-invasive cancer. A retrospective pilot study included eight cats with bone invasive cancer treated with intravenous pamidronate. In vitro, pamidronate reduced proliferation in feline cancer cells (P < 0.05). One cat treated with pamidronate in combination with chemotherapy and two cats treated with pamidronate as a single agent after failing prior therapy had subjective

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… Incidence of serious side effects with intravenous bisphosphonate: a clinical audit. QJM. 2012;105(10):965–971. doi: 10.1093/qjmed/hcs112. 33. Perazella MA, Markowitz GS. Bisphosphonate nephrotoxicity. Kidney International. 2008;74(11):1385–1393. doi: 10.1038/ki.2008.356. 34. …

Cohort Profile: The Haematological Malignancy Research Network (HMRN): a UK population-based patient cohort.

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… Subsequently, additional linkages and abstractions are carried out, triggered either by changes in state (e.g. death, disease progression, relapse, treatment initiation) or requests for a clinical audit. …

Photobiomodulation therapy to prevent oral mucositis and functional impairment in adult patients with haematological cancer undergoing haematopoietic stem cell transplantation: randomised trial protocol.

IntroductionOral mucositis is a highly prevalent condition in individuals treated for haematological neoplasms, primarily during haematopoietic stem cell transplantation (HSCT). The condition is known to delay recovery processes, increasing the risk of infection, the number of interventions and the length of hospital stays. The proposed Photobiomodulation Therapy for Oral Mucositis and Functional Impairment Transplantation Trial aims to assess the effectiveness and acceptability of using photobiomodulation in the oral cavity to prevent oral mucositis and functional impairment in adult patients

Safety and tolerability of the antimicrobial peptide human lactoferrin 1-11 (hLF1-11).

BackgroundThe treatment of patients with haematological malignancies by means of haematopoietic stem cell transplantation (HSCT) is often accompanied by life threatening infections. With emerging antimicrobial resistance there is an increased need for new agents, with a beneficial safety profile. Therefore we evaluated the safety of the promising new antimicrobial peptide human lactoferrrin 1-11 (hLF1-11) in healthy volunteers and patients.MethodsWe undertook a sequential, randomised, double-blind, placebo-controlled study using ascending single (0.005, 0.05, 0.5, 5 mg) and multiple intravenou

A cross-sectional study on Chinese oncology nurses' knowledge of bone health among cancer patients.

OBJECTIVE: To understand the knowledge status, obstacle factors, and management confidence of oncology nurses on the bone health of cancer patients, and in addition to provide reference for establishing bone health knowledge training system for oncology nurses and guiding them to manage bone health of cancer patients. METHODS: A total of 602 nurses engaged in oncology nursing in 6 hospitals in Hebei Province were selected by cluster sampling, and an online anonymous survey was conducted by sending questionnaires to oncology nurses from the Hebei Cancer Prevention and Control Association. The

Will the reformed Cancer Drugs Fund address the most common types of uncertainty? An analysis of NICE cancer drug appraisals.

BackgroundOne of the functions of the reformed Cancer Drugs Fund in England is as a managed access fund, providing conditional funding for cancer drugs where there is uncertainty in the economic case, and where that uncertainty can be addressed by data collection during two years' use in the NHS. Our study characterises likely sources of such uncertainty, through a review of recent NICE Technology Appraisals.MethodsDiscussions of uncertainty in NICE Appraisal Committees were extracted from published Single Technology Appraisals of cancer drugs, 2014-2016, and categorised inductively. The locat

What is the relevance of an ambulatory quick diagnosis unit or inpatient admission for the diagnosis of pancreatic cancer? A retrospective study of 1004 patients.

Quick diagnosis units (QDU) have become an alternative hospital-based ambulatory medicine strategy to inpatient hospitalization for potentially serious illnesses in Spain. Whether diagnosis of pancreatic cancer is better accomplished by an ambulatory or inpatient approach is unknown. The main objective of this retrospective study was to examine and compare the diagnostic effectiveness of a QDU or inpatient setting in patients with pancreatic cancer.Patients with a diagnosis of pancreatic adenocarcinoma who had been referred to a university, tertiary hospital-based QDU or hospitalized between 2

Evaluation of salivary flow in patients following hematopoietic stem cell transplantation: a retrospective study.

INTRODUCTION: Hematopoietic stem cell transplantation is an effective treatment for hematological diseases but it is frequently associated with oral complications such as hyposalivation and xerostomia, particularly in cases of chronic Graft-versus-Host Disease. The objective of this study was to evaluate unstimulated salivary flow in patients who underwent transplantations at least five years previously and to investigate possible associations between hyposalivation and systemic and oral chronic Graft-versus-Host Disease. METHODS: This retrospective cross-sectional study included 27 patients

A Rare Case of Severe Pelvic Organ Prolapse with Massive Perineal Hernia in a Nulliparous Woman: A Case Report and Literature Review.

Background and Clinical Significance: Advanced pelvic organ prolapse (POP) associated with perineal herniation of pelvic and abdominal organs is a sporadic occurrence in gynaecological practice. Generally, POP affects up to 50% of multiparous women at some point during their lives. Advanced forms (grade III or IV) represent less than 10% of all cases, with severe grade IV prolapse occurring in fewer than 2% of patients. Case Presentation: We report the case of a 48-year-old nulliparous woman with no prior surgical history and no known medical conditions at presentation. The patient presented w

The issue with incidence: a scoping review of reported medication-related osteonecrosis of the jaws (MRONJ) incidence around the globe.

BACKGROUND: Medication-related osteonecrosis of the jaws (MRONJ) can be a debilitating condition which is challenging to manage. While vast literature exists surrounding MRONJ, many studies have small participant numbers and are heterogeneous in design, leaving unanswered questions and making evidence-based practice challenging. OBJECTIVE: Provide an overview of recent MRONJ incidence data, over a 5-year period, identify potential issues in reporting MRONJ cases and propose changes for future reporting. ELIGIBILITY CRITERIA: Studies with original data regarding MRONJ incidence published from

Множественная миелома в молодом возрасте из центра лечения рака третьей ступени в Индии.

Множественная миелома (ММ) является главным образом болезнью пожилых людей; данные о молодых пациентах ограничены. ≤ 40 Мы ретроспективно проанализировали вновь диагностированные пациенты MM в возрасте ≤ 40 годы между 2013 и 2021. РЕШЕНИЙ 1980 - пациентов, прошедших обследование; 110 (В тыс.5.5%) были ≤ 40 годы (средний возраст) 36). Гиперкальцемия, почечная дисфункция, анемия и повреждения костей (CRAB) 11.9%, 17.3%, 42.7%, и 92.6% пациентов соответственно. Более one- третий этап Международной системы уплотнения (МСУ), 20.8% HR цитогенетики и 21.6% :: заболевания легких цепочек (ЛЦД). Множест