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Effect of exercise interventions on cognitive function in breast cancer patients and survivors: a systematic review with meta-analysis.

BackgroundExercise has been shown to facilitate cognitive function; however, data on changes in cognitive function in response to exercise interventions among breast cancer patients and survivors, who frequently experience cognitive impairment, have not been comprehensively synthesized. Therefore, this study aims to examine the impact of exercise interventions on cognitive function among breast cancer patients and survivors.MethodsElectronic databases including PubMed, Scopus, and Web of Science were searched from inception to December 25, 2024. A three-level meta-analysis was performed in R u

Symptom burden, psychological distress, and health-related quality of life in cancer survivors with pelvic late radiation tissue injuries

Abstract Purpose Curative radiotherapy for cancer may lead to severe late radiation tissue injuries (LRTIs). However, limited knowledge exists about pelvic cancer survivors’ LRTI symptoms, distress, and health-related quality of life (HRQOL). We sought to assess the symptom burden, distress, and HRQOL in survivors with established pelvic LRTIs compared to norm populations and to investigate the relation between these factors. Methods Cancer survivors referred for treatment of established pelvic LRTIs were recruited nationwide. LTRIs were assessed with the Expanded Prostate Cancer Index Composi

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

Recognition of early mortality in multiple myeloma by a prediction matrix.

Early mortality (EM; death ≤ 6 months from diagnosis) has been reported in several newly diagnosed multiple myeloma (NDMM) trials. Before the era of novel agents, the incidence was 10%-14%. Causes of death included infections/pneumonia, renal failure, refractory disease, and cardiac events. Staging systems, such as the revised International Staging System (r-ISS), and prognostic factors including cytogenetics, lactate dehydrogenase levels, and myeloma-specific factors, are useful to assess overall prognosis; however, they cannot predict EM. We evaluated patients treated with novel agents in th

Longitudinal patient-reported outcomes and quality-of-life trajectories over 2 years in CAR-T therapy recipients.

Health-related quality of life (HRQoL) measured by patient-reported outcomes (PROs) is understudied in patients who receive chimeric antigen receptor T-cell (CAR-T) therapies. We hypothesized that CAR-T therapies generate long-term HRQoL benefits, and that PRO trajectories in the immediate postinfusion period may serve as prognostic indicators for treatment response. We measured longitudinal HRQoL among patients with hematologic malignancies receiving CAR-T therapy using the Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health-10 and PROMIS-29 Profile instruments at

Isatuximab: A Review of Its Use in Multiple Myeloma.

Isatuximab (Sarclisa®; isatuximab-irfc in the USA) is an anti-CD38 monoclonal antibody (mAb) approved for use in the treatment of adults with multiple myeloma (MM): in combination with pomalidomide and dexamethasone for those with relapsed and refractory MM (RRMM) who have received ≥ 2 prior therapies, including lenalidomide and a proteasome inhibitor; and in combination with carfilzomib and dexamethasone for those with relapsed MM who have received ≥ 1 prior therapy. In phase III studies, the addition of isatuximab to pomalidomide and dexamethasone significantly prolonged progression-free sur

Management of single brain metastasis: a practice guideline.

QUESTIONS: Should patients with confirmed single brain metastasis undergo surgical resection? Should patients with single brain metastasis undergoing surgical resection receive adjuvant whole-brain radiation therapy (wbrt)? What is the role of stereotactic radiosurgery (srs) in the management of patients with single brain metastasis? PERSPECTIVES: Approximately 15%-30% of patients with cancer will develop cerebral metastases over the course of their disease. Patients identified as having single brain metastasis generally undergo more aggressive treatment than do those with multiple metastases

Изучение цереброваскулярных проявлений нейроборлиоза: обзор.

Заболевание Lyme - это зоонотическая инфекция, передающаяся Боррелией Бурдорфери, и, если ее не диагностировать, она может появиться на более поздних этапах с неврологическими проявлениями. Цель этого обзора заключается в обобщении данных о инсультовом или аналогичном цереброваскулярном исходе нейроборрелиоза Лайма (НБ) для содействия раннему распознаванию и лечению. 90 - пациенты, отвечающие критериям Европейской федерации неврологических обществ/Американской академии неврологических заболеваний/Американской школы ревматологии (EFNS/IDSA/AAN/ACR) для ЛНБ с радиологически или серологически под

Research on predicting the progression of multiple myeloma treated with bortezomib based on multimodal ensemble learning.

BackgroundMultiple myeloma (MM) is a malignancy characterized by abnormal plasma cell proliferation. While bortezomib has improved outcomes, significant individual variability persists. Accurate early prediction of patient progression is crucial for optimizing therapeutic intensity and improving long-term survival. Developing an automated, multimodal prediction model can provide clinicians with a robust tool for personalized prognosis, thereby reducing the burden of ineffective treatments on patients.MethodsWe enrolled 207 newly diagnosed MM (NDMM) patients treated with bortezomib. Based on 2-

Targeted and epigenetic therapies for acute myeloid leukemia treatment.

This article provides a comprehensive overview of targeted and epigenetic therapies for acute myeloid leukemia (AML), highlighting their role in advancing treatment strategies. Recognizing that AML arises from complex genetic and epigenetic alterations, a deeper understanding of its pathogenesis has paved the way for precision medicine. The article reviews key targeted therapies, including IDH inhibitors (e.g., ivosidenib, enasidenib) for IDH mutations, FLT3 inhibitors (e.g., midostaurin, gilteritinib) for FLT3 alterations, BCL2 inhibitors (e.g., venetoclax) impacting apoptosis, and emerging M

Cancer Mortality by Ethnicity in Colombia Between 2011 and 2022: A Population-Based Study.

ObjectivesTo examine cancer mortality rates in Colombia by ethnic groups (Indigenous, Rom, Raizal, Afro-Colombian, and Mestizo) and assess trends from 2011 to 2022.MethodsNational vital statistics from death certificates and the Colombian census data were used. Crude and direct age-standardized mortality rates were determined by ethnicity for the study period, by year, sex, and cancer type and Joinpoint analysis was conducted to examine trends.ResultsAge-standardized cancer mortality of Mestizos (60.1 per 100,000 population) was lower than in Rom and Raizales (557.3 and 77.7 per 100,000), and

Voices of Survivorship: The Unmet Needs of Italian Cancer Survivors. A Qualitative Study.

BackgroundThe increasing number of cancer survivors (CSs) globally highlights the critical need for healthcare systems to address their unmet needs. These needs span physical, psychosocial, spiritual, informational, and practical dimensions and, if unaddressed, can impact quality of life and healthcare satisfaction.AimsThis study aimed to identify and understand the unmet needs of CSs in Italy to guide the development of patient-centered survivorship care services.MethodsA cross-sectional qualitative study was conducted between April 2023 and January 2024 at the Comprehensive Cancer Centre of

Associations of serum total light chain kappa and lambda levels with all-cause mortality in Chinese centenarians.

The purpose of this study was to determine the relationship between the serum levels of kappa (κ) and lambda (λ) total light chain (TLC), the κ/λ ratio, and the combined serum TLCκ and TLCλ (ΣTLC) levels in Chinese centenarians and all-cause mortality. The association between serum TLC and all-cause mortality was investigated using restricted cubic spline (RCS) analysis, Cox proportional hazards models, and Kaplan‒Meier curves. The study included 906 centenarians (18.8% male), 838 (92.5%) of whom died during a median follow-up of 30 months. The proportions of centenarians with abnormal TLCκ an

Инструмент машинного обучения для прогнозирования недавно диагностированного остеопороза в области первичной медико-санитарной помощи в регионе Стокгольма.

Повышение точности и своевременности диагностики остеопороза может помочь предотвратить хрупкие переломы, заболеваемость и смертность для пожилых людей. Остеопороз часто является безмолвным состоянием здоровья, особенно в том, что касается переломов позвоночника, и ВОЗ обратилась с призывом к оказанию первичной медико-санитарной помощи, с тем чтобы она вела работу по выявлению, оценке и лечению таких заболеваний, как остеопороз. Мы использовали метод машинного обучения, Stocastic Gradient Bousting (SGB), чтобы определить, какие диагнозы в системе первичной медико-санитарной помощи предсказываю

Ассоциация между диагностической историей и заболеваемостью раком 5 Годы: Реальный анализ наблюдений.

НЕЗАВИСИМЫЙ: Рак связан со многими ранее существовавшими заболеваниями, однако точное количественное определение этих связей по-прежнему сопряжено с трудностями. Хотя в некоторых исследованиях эти ассоциации были изучены, широкомасштабный анализ с использованием различных электронных данных о состоянии здоровья (ЭПЧ) по-прежнему носит ограниченный характер и не позволяет оценить риск заболевания раком в тех случаях, когда пациенты стратифицированы в результате межличностных различий. Использование реального набора данных по ЭПЧ из крупной системы здравоохранения Луизианы, включающей 8,283,236

Совпадение в полном тексте источника
… In future work, we will enhance this AI tool using multidisease pathway analysis, 8 interpretable machine learning models, and 4 large language models to extract temporal and contextual cancer-risk insights from EHR data based on 1,229 binary ICD-10-CM features and sequential patient histories. …

Ассоциация < < U-Shaed > > : первый год < < eGFR Slope > > и < < Риск смерти > > в Множественной миеломе.

ОКРУЖАЮЩАЯ СРЕДА: Ренальное расстройство (РИ) повышает риск смерти в множестве миеломы (ММ), однако RI представляет собой относительно поздний этап дисфункции почек. Остаются неизвестными ранние показатели почечной дисфункции, такие, как предполагаемая мемориальная фильтрация (уклон eGFR). МЕТОДЫ: В этом одном центре, ретроспективное исследование охватывало 974 вновь диагностировавшихся пациента MM (NDMM) (2008-2022 годы) с перспективными уровнями креатинина и уровнем выживаемости в течение среднего периода последующих действий продолжительностью 40 месяцев. Уклон eGFR за первый год, представл

The impact of experiential avoidance on anxiety and depressive disorders in hematological cancer patients.

Anxiety disorders and/or depressive disorders co-occurring with hematological cancer are an additional burden for patients. Experiential avoidance (EA; efforts to avoid negative emotions, thoughts, or memories) is an empirically evident transdiagnostic factor for the onset and maintenance of anxiety and depressive disorders in non-cancer populations. There is lack of evidence on the impact of EA in predicting anxiety and depression in cancer patients. A total of 291 patients with hematological cancer (60% male, mean age 55 years) were included in this cross-sectional observational study. Parti

Влияние изменений, флуктуации или изменчивости веса на риск неалкогольной толстой болезни печени в общей численности населения: систематический обзор и мета-анализ.

В настоящее время проводятся фоновые и целенаправленные исследования воздействия изменений веса на неалкогольное заболевание жировой печени; поэтому цель этого систематического обзора заключается в критическом обсуждении воздействия изменений, колебаний или колебаний веса на риск заболевания неалкогольной жировой печени у населения в целом. three базы данных, PubMed/Medline, Google Scientist и Scopus, которые были доступны до июня 2024, были использованы для составления материалов для наших исследований. Для этого исследования были представлены только публикации на английском языке, и их оценк

Function in Cancer Patients: Disease and Clinical Determinants.

Patients with cancer often experience changes in function during and after treatment but it is not clear what cancer types, and associated clinical factors, affect function. This study evaluated patient-reported functional impairments between specific cancer types and risk factors related to disease status and non-cancer factors. A cross-sectional study evaluating 332 individuals referred to cancer rehabilitation clinics was performed at six U.S. hospitals. The PROMIS Cancer Function Brief 3D Profile was used to assess functional outcomes across the domains of physical function, fatigue, and s

Tales from the Jazz ASH: highlights from the 2013 American Society of Haematology meeting.

The 55th annual ASH meeting was held in pleasant New Orleans and was the largest in its history, with 22,495 participants coming from 113 nations. A 'bench-to-bedside and back' attitude characterises haematology probably more than any other discipline in medicine and, as usual, this was reflected in the extremely wide breadth of the topics covered, including the last results from clinical trials and cutting-edge advancements in basic science. This year, the balance was arguably skewed: few truly clinical practice-changing results were presented. On the other hand, a great number of basic and t