Результаты поиска

Искусственный интеллект и машинное обучение в нейрогенной дисфункции нижних мочевых путей и травме спинного мозга: текущее состояние, новые технологии и этические перспективы.

Искусственный интеллект (АИ) и машинное обучение все чаще применяются во всех областях урологии, при этом особое значение придается нейрогенной дисфункции нижних мочевых путей (НЛУТД) у лиц с повреждениями спинного мозга (КВП). Кроме того, существуют особые перспективы в том, что касается лечения NLUTD — сложного, пожизненного состояния, затрагивающего людей с SCI, а также связанного с множественным склерозом, болезнью Паркинсона и другими неврологическими расстройствами. В этой статье содержится всеобъемлющий анализ нынешней и формирующейся роли МА в нейроурологии с уделением особого внимания

Seamless Navigation of Bispecific Therapies: Optimizing Management and Outpatient Access With a Focus on Coordination.

Bispecific antibodies (BsAbs) have emerged as crucial therapeutic agents for patients with relapsed/refractory diffuse large B-cell lymphoma, multiple myeloma, and most recently, lung cancer. These therapies have demonstrated remarkable efficacy in clinical trials; however, multidisciplinary collaboration is essential to ensure optimal patient outcomes amid the operational complexities associated with BsAb therapy. As BsAbs are being prepared for broader adoption, clinicians and treatment centers must navigate operational challenges, including financial considerations, patient selection, careg

End-stage kidney disease and rationing of kidney replacement therapy in the free state province, South Africa: a retrospective study.

BackgroundEnd-stage kidney disease (ESKD) and the required kidney replacement therapy (KRT) are significant public health challenges for low-and-middle-income countries. The South African government adopted a KRT rationing policy to balance the growing need for KRT and scarce resources. We aimed to describe the epidemiology and KRT access in patients with ESKD referred to the main public sector hospital in the Free State Province, South Africa.MethodsA retrospective study of adult patients with ESKD admitted to Universitas Academic Hospital for KRT, was conducted between 1 January 2016 and 31

Взгляды заинтересованных сторон Соединенного Королевства на суррогатные концы рака и потенциальные возможности Соединенного Королевства в области реальных мировых данных для подтверждения их использования в процессе принятия решений.

Продолжительность общего выживаемости пациентов с раком увеличилась благодаря более раннему обнаружению и совершенствованию лечения. Однако эти улучшения породили трудности с оценкой воздействия новых методов лечения, особенно тех, которые используются на раннем этапе лечения. Поскольку общее выживание остается предпочтительным для большинства лиц, принимающих решения, для внедрения в практику клинической практики терапевтических инноваций может потребоваться много времени. Кроме того, трудно экстраполировать полученные результаты на разнородные группы населения и решить проблемы пациентов, же

Artificial intelligence across the cancer care continuum.

Artificial intelligence (AI) holds significant potential to enhance various aspects of oncology, spanning the cancer care continuum. This review provides an overview of current and emerging AI applications, from risk assessment and early detection to treatment and supportive care. AI-driven tools are being developed to integrate diverse data sources, including multi-omics and electronic health records, to improve cancer risk stratification and personalize prevention strategies. In screening and diagnosis, AI algorithms show promise in augmenting the accuracy and efficiency of medical image ana

Diagnostic imaging for spinal disorders in the elderly: a narrative review.

The high prevalence of neck and low back pain in the rapidly aging population is associated with significant increases in health care expenditure. While spinal imaging can be useful to identify less common causes of neck and back pain, overuse and misuse of imaging services has been widely reported. This narrative review aims to provide primary care providers with an overview of available imaging studies with associated potential benefits, adverse effects, and costs for the evaluation of neck and back pain disorders in the elderly population. While the prevalence of arthritis and degenerative

Female sex as an independent prognostic factor in the development of oral mucositis during autologous peripheral stem cell transplantation.

Oral mucositis (OM) is a frequent complication of stem cell transplantation-associated toxicity in haematological malignancies, contributing to mortality. Therapy still remains mainly supportive. We assessed risk factors in retrospective analysis of 192 autologous peripheral stem cell transplantation patients with lymphoma and multiple myeloma (MM), respectively. Futhermore, we examined the hormone levels both in serum and saliva during transplantation in 7 postmenopausal female patients with lymphoma compared to healthy controls using electrochemiluminescence immunoassay (ECLIA). Multivariabl

The impact of disease-related symptoms and palliative care concerns on health-related quality of life in multiple myeloma: a multi-centre study.

BACKGROUND: Multiple myeloma, the second most common haematological cancer, remains incurable. Its incidence is rising due to population ageing. Despite the impact of the disease and its treatment, not much is known on who is most in need of supportive and palliative care. This study aimed to (a) assess symptom severity, palliative care concerns and health-related quality of life (HRQOL) in patients with multiple myeloma, and (b) to determine which factors are associated with a lower quality of life. We further wanted to know (c) whether general symptom level has a stronger influence on HRQOL

Granulocyte Colony Stimulating Factor-Mobilized Peripheral Blood Mononuclear Cells: An Alternative Cellular Source for Chimeric Antigen Receptor Therapy.

Lymphocyte collection by apheresis for CAR-T production usually does not include blood mobilized using granulocyte colony stimulating factor (G-CSF) due to the widespread knowledge that it causes a decrease in the number and functionality of lymphocytes. However, it is used for stem cell transplant, which is a common treatment for hematological malignancies. The growing demand for CAR therapies (CAR-T and NK-CAR), both in research and clinics, makes it necessary to evaluate whether mobilized PBSC products may be potential candidates for use in such therapies. This review collects recent works

Безопасность и эффективность автолекселя циллакабтагена для повторной/рефрактной множественной миеломы: исследование CIBMTR.

Ciltacabtagen Autoleucel (Cilta-cel), антиклеточная антигенная терапия (BCMA) химерика антигена рецептора T-клетки (CAR-T), была одобрена в рамках программы CAR-T. 2022 - для сильно обработанной повторной/реактивной множественной миэломы (RRMM). В этом исследовании оценивается безопасность и эффективность цилта-села у пациентов МРМ, о которых было сообщено Международному научно-исследовательскому центру по трансплантации крови и костного мозга в период с марта 2022 и декабрь 2023 которые отвечают требованиям в отношении коммерческих выбросов. Среди 595 Средний возраст пациентов 64 годы, 57% му

Резюме докладов 38th - ежегодное собрание общества общей внутренней медицины.

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

Italian onco-haematological patients' preferences in bad news communication: a preliminary investigation.

BackgroundThe manner in which bad news is communicated in oncological contexts can affect patients' engagement, their coping strategies and therapeutic compliance. Although this topic has been broadly investigated since the nineties, to the best of our knowledge, little has been written about Italian patients' experiences and preferences concerning what the oncologists should disclose and how they should intimate patients about their health conditions in different stages of oncological disease.MethodsIn an attempt to fill this gap, an online self-report questionnaire was administered to a samp

Oral Presentations

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

Onco-Hem Connectome-Network-Based Phenotyping of Polypharmacy and Drug-Drug Interactions in Onco-Hematological Inpatients.

We introduce the Onco-Hem Connectome (OHC), a patient similarity network (PSN) designed to organize real-world hemato-oncology inpatients by exploratory phenotypes with potential clinical utility. Background: Polypharmacy and drug-drug interactions (DDIs) are pervasive in hemato-oncology and vary with comorbidity and treatment intensity. Methods: We retrospectively analyzed a 2023 single-center cohort of 298 patients (1158 hospital episodes). Standardized feature vectors combined demographics, comorbidity (Charlson, Elixhauser), comorbidity polypharmacy score (CPS), aggregate DDI severity scor

Diagnosis and treatment of bone disease in multiple myeloma: spotlight on spinal involvement.

Bone disease is observed in almost 80% of newly diagnosed symptomatic multiple myeloma patients, and spine is the bone site that is more frequently affected by myeloma-induced osteoporosis, osteolyses, or compression fractures. In almost 20% of the cases, spinal cord compression may occur; diagnosis and treatment must be carried out rapidly in order to avoid a permanent sensitive or motor defect. Although whole body skeletal X-ray is considered mandatory for multiple myeloma staging, magnetic resonance imaging is presently considered the most appropriate diagnostic technique for the evaluation

Bone complications in patients with multiple myeloma in five European countries: a retrospective patient chart review.

BackgroundBone complications (pathologic fracture, spinal cord compression, surgery to bone and radiation to bone) are a common problem in patients with multiple myeloma (MM). We set out to provide insights into the real-world burden of bone complications in patients with newly diagnosed MM (NDMM).MethodsWe conducted a retrospective review of medical charts of patients with NDMM whose disease had progressed following first-line treatment in the 3 months before data collection in 2016 in five European countries (France, Germany, Italy, Spain and the United Kingdom).ResultsThe aggregated study p

Применение цифровых технологий для лечения хронических заболеваний: систематический обзор.

С учетом того, что на хронические заболевания приходится значительная доля предотвратимых смертей во всем мире, решающее значение имеет внедрение новаторских технологий для лечения и профилактики заболеваний. Цифровые близнецы (ДТ), представляющие one Наиболее передовые технологические решения позволяют в реальном масштабе времени осуществлять моделирование и мониторинг развития хронических заболеваний, облегчая индивидуализированные стратегии лечения и раннее вмешательство. В рамках этого систематического обзора изучаются текущие исследования по применению DT в области борьбы с хроническими з

Local Investigators Significantly Overestimate Overall Response Rates Compared to Blinded Independent Central Reviews in Uncontrolled Oncology Trials: A Comprehensive Review of the Literature.

Several drugs gained market authorization based on the demonstration of improved progression-free survival (PFS), adopted as a primary endpoint in Phase 3 clinical trials. In addition, an increasing number of drugs have been granted accelerated approval, and sometimes regular approval, by the main regulatory agencies based on the evaluation of the overall response rate in Phase 1 and 2 clinical trials. However, while the overall survival is an unbiased measure of drug efficacy, these outcomes rely on the assessment of radiological images and patients' categorization using standardized response

The concept of exceptionality: a legal farce?

How do we decide which treatments should be offered by the National Health Service (NHS) when we cannot afford to fund them all? In the absence of a positive appraisal by the National Institute for Health and Clinical Excellence (NICE), which mandates the provision of a treatment by the NHS, Primary Care Trusts (PCTs) are free to decide whether to provide a particular drug to some, or all, of their population. However, as public bodies, it is a well-established principle of Administrative Law that PCTs are not at liberty to fetter the exercise of their own discretion. They must recognise the p

Drug-Induced Periocular and Ocular Surface Disorders: An EAACI Position Paper.

Various systemic and topical medications can induce ocular and periocular cutaneous adverse effects (AEs), ranging from mild to severe. These AEs may lead to ocular surface (OS) damage and, in some cases, life-threatening complications. Drug-induced ocular adverse reactions are generally classified into two primary categories: toxic reactions and/or allergic hypersensitivity reactions, which can be IgE or non-IgE-mediated. Systemic antibiotics, antivirals, and anticonvulsants can trigger adverse reactions that may involve the OS. Drugs like antihistamines, beta-blockers, antipsychotics, antide

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… G., d'Mellow G., and Australian, New Zealand Glaucoma Interest G , “Clinical Audit Examining the Impact of Benzalkonium Chloride‐Free Anti‐Glaucoma Medications on Patients With Symptoms of Ocular Surface Disease,” Clinical & Experimental Ophthalmology 43, no. 3 (2015): 214–220. 148. Kahook M. …