Результаты поиска

Daratumumab combined with anti-CD20 therapy in pediatric and adult refractory idiopathic nephrotic syndrome: single-center experience.

BACKGROUND: Refractory idiopathic nephrotic syndrome (INS), in native kidneys or post-transplant, represents a major therapeutic challenge due to its high risk of progressing to end-stage renal disease. Patients often resist anti-CD20 therapy and require prolonged apheresis. Daratumumab, an anti-CD38 monoclonal antibody targeting plasma cells, has demonstrated promising efficacy in case reports when combined with anti-CD20, but evidence remains limited. METHODS: We conducted a single-center retrospective study including four patients (two pediatric, two adult, including one renal transplant)

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… Written informed consent for participation in this study was provided by the participants’ legal guardians/next of kin. … Written informed consent was obtained from the individual(s), and minor(s)’ legal guardian/next of kin, for the publication of any potentially identifiable images or data included in this article. Author contributions HN: Methodology, Writing – original draft, Investigation, Data curation. …

Topical Simvastatin Improves Lesions of Diffuse Normolipemic Plane Xanthoma by Inhibiting Foam Cell Pyroptosis.

Xanthoma pathogenesis is speculated to be associated with oxidized low-density lipoprotein (ox-LDL) deposition, although this remains unclear. Most patients with diffuse plane xanthomas present elevated blood lipid levels, and they benefit from treatment with oral lipid-lowering agents. However, there is no available treatment for diffuse normolipemic plane xanthoma (DNPX). In this study, for the first time, we used a topical simvastatin ointment to treat DNPX in three pediatric patients and observed favorable results. Immunofluorescence staining showed that the pyroptotic pathway was signific

Повреждения белых веществ в мигрени: одноцентральное ретроспективное исследование распространенности и факторов риска.

Мигрейн занимает третье место по частотности и второе место по степени неврологического расстройства во всем мире. Исследования в области нейронизации свидетельствуют о более высокой распространенности повреждений белой материи (WML) у мигреней, при этом метаанализ показывает, что: 44% Совместная распространенность. В ОАЭ мигрень влияет 18.2% :: среди медицинских работников, но неизучена распространенность применения УМЛ. В этом исследовании изучается распространенность УМЛ и клинические корреляции у пациентов с мигренью ОАЭ. 313 больные мигренью в возрасте 10-50 Годы, которые прошли МРТ мозга

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… Written informed consent for participation was not required from the participants or the participants' legal guardians/next of kin in accordance with the national legislation and institutional requirements. …

Спектр и эпидемиология неврологических расстройств и нервно-мышечных аномалий у педиатрического населения Сиалкота, Пакистан.

СВЕДЕНИЕ И ЦЕЛЬ: Неврологические заболевания и нейромускульные аномалии являются сложными условиями, влияющими как на центральную, так и на периферию нервной системы. Цель этого исследования заключалась в изучении частотности, характерных особенностей, фенотипных особенностей и семейных характеристик педиатрических неврологических расстройств и нейромускульных аномалий в пакистанском районе Сиалкот. МЕТОДОЛОГИЯ: С февраля было проведено перекрестное исследование, в ходе которого пациенты были набраны из больниц третичной медицинской помощи по всему району Сиалкот, 2024 до декабря, 2024. Для ан

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… Data collection instrument and procedure: A structured questionnaire was used to collect data through face-to-face interviews with parents/legal guardians and a review of available medical records. The questionnaire captured a range of biodemographic and socioeconomic variables. …

Доклад по делу: Эхокардография эхокардиоскопии аденосинового стресса, свидетельствующая о микроваскулярной дисфункции сердца AL Amiloidosis.

Сердечный амилоидоз (CA) является редкой, но все чаще признанной причиной ограничительной кардиомиопатии. Неинвазивная оценка коронарной микрососудистой дисфункции в CA может облегчить раннюю диагностику и улучшить мониторинг заболеваний. Мы представляем случай легкоцепных (AL) кардиологических амилоидозов, проявляющихся как напряженная ангина с неинтрузивными эпикардиальными коронарными артериями, в которых контрастная эхокардическая эхокардия аденосинового стресса в сочетании с эхокардическим измерением коронарного потока (CFVR) выявила нарушение миокардного перфузиона и сокращение CFVR. Пол

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… Written informed consent to participate in this study was not required from the participants or the participants' legal guardians/next of kin in accordance with the national legislation and the institutional requirements. …

Воздействие комплексной медицинской помощи на процесс реабилитации пациентов с множественными миеломами в академическом отделении гематологии.

Множественная миелома (ММ) — сложная гематологическая гелингология, часто связанная с осложнениями и проблемами восстановления. Исследования, посвященные конкретным последствиям и факторам, связанным с применением комплексного режима ухода за больными пациентами с множественной миеломой в отделении гематологии, по-прежнему носят ограниченный характер. Изучить положительные аспекты потенциальной пользы всеобъемлющей модели ухода за больными. Сбор клинических данных о пациентах с множественными миеломами, которые с марта проходили обычную химиотерапию в отделении гематологии нашей больницы 2020

Autoimmune Cytopenias Post Hematopoietic Stem Cell Transplantation in Pediatric Patients With Osteopetrosis and Other Nonmalignant Diseases.

Autoimmune cytopenia (AIC) is a rare complication post hematopoietic stem cell transplantation (HSCT), with a higher incidence in nonmalignant diseases. The etiology of post-HSCT AIC is poorly understood, and in many cases, the cytopenia is prolonged and refractory to treatment. Diagnosis of post-HSCT AIC may be challenging, and there is no consensus for a standard of care. In this retrospective study, we summarize our experience over the past five years with post-HSCT AIC in pediatric patients with osteopetrosis and other nonmalignant diseases. All pediatric patients who underwent HSCT for no

Management of infection and ocular complications in pediatric SJS/TEN-like acute graft-versus-host disease: a clinical case study and literature review.

Acute graft-versus-host disease (aGVHD) with skin manifestations reminiscent of Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) is associated with poor outcomes. However, optimal management strategies to enhance quality of life in SJS/TEN-like aGVHD remain undefined. This study aims to investigate the management of complex infections and acute ocular injury in patients with SJS/TEN-like aGVHD following allogeneic hematopoietic stem cell transplantation. We conducted a comprehensive analysis of the treatment course for a patient with SJS/TEN-like aGVHD, complemented by a lit

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… Written informed consent for participation in this study was provided by the participants’ legal guardians/next of kin. … Written informed consent was obtained from the individual(s), and minor(s)’ legal guardian/next of kin, for the publication of any potentially identifiable images or data included in this article. Author contributions HY: Writing – original draft, Writing – review & editing. …

Intractable right coronary artery spasm in the early postoperative period after heart transplantation: a case report.

Coronary artery spasm after heart transplantation is a very rare complication. In one observational study and many anecdotal reports, most cases of coronary artery spasm occurred more than 1 year after surgery and had good outcomes. However, cases of intractable coronary artery spasm during the early postoperative period resulting in fatality are limited. This report presents a case of two cardiac arrests caused by coronary artery spasms within a short period of time after heart transplantation.

Diffuse midline glioma treated with epigenetic agent-based immunotherapy.

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… Informed consent Written informed consent was obtained from all the participants or legal guardians. …

Clinical characteristics and prognostic impact of Burkholderia cepacia complex colonization and infection in patients with hematologic malignancies.

ObjectiveIn recent years, there has been an increasing number of reports on infections caused by the Burkholderia cepacia complex (Bcc). However, the clinical characteristics and prognosis of Bcc infections in patients with hematological malignancies remain unreported. This study aimed to delineate the clinical trajectory from colonization to active infection and to identify prognostic factors influencing outcomes in hematologic malignancy patients with Bcc colonization.MethodsWe conducted a retrospective analysis of 185 hematological malignancy patients with Bcc colonization at the Department

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… Written informed consent for participation was not required from the participants or the participants’ legal guardians/next of kin in accordance with the national legislation and institutional requirements. …

Hematologic response assessment in monoclonal gammopathy of renal significance: critical appraisal of current criteria.

INTRODUCTION: Current recommendations for hematologic response (HemR) assessment in monoclonal gammopathies of renal significance (MGRS) are based on the monoclonal immunoglobulin (MIg) component responsible for renal damage. Light-chain (LC) amyloidosis criteria are recommended when renal lesions are due to LC, whereas multiple myeloma (MM) criteria are proposed when due to an intact monoclonal immunoglobulin. However, the nephrotoxic MIg is frequently not measurable either by the International Myeloma Working Group (IMWG) or the International Society of Amyloidosis (ISA) criteria. METHODS: I

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… Written informed consent for participation was not required from the participants or the participants’ legal guardians/next of kin because the observational nature of the study and anonymized data. Author contributions AD-G: Writing – original draft, Methodology, Investigation. …

A Phase I Study of Carfilzomib with Cyclophosphamide and Etoposide in Relapsed and Refractory Leukemia and Solid Tumors.

BackgroundNovel therapies are needed for children, adolescents, and young adults with relapse/refractory leukemia or solid tumors. The proteasome inhibitor carfilzomib has demonstrated pre-clinical activity against several pediatric malignancies when used alone or in combination. Therefore, a multicenter dose-escalation phase 1 study of carfilzomib administered in combination with cyclophosphamide and etoposide was conducted.MethodsStudy eligibility included an age of 6 months to 2/day, etoposide 100 mg/m2/day, and carfilzomib was administered every 28 days with growth factor support. The carf

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… Informed consent was obtained from the patients or their legal guardians before study entry in accordance with individual institutional policies. 2.2. …

Клинический анализ развития синдрома Гильен-Барре во время лечения от множественных миелом.

СТРУКТУРА: Развитие синдрома Гильен-Барре (ГБС) во время лечения бортезомибами множественной миеломы (ММ) происходит редко. Клиническая бдительность в связи с этим серьезным неблагоприятным событием имеет важнейшее значение для своевременной диагностики и управления. МЕТОДЫ: Мы провели ретроспективный обзор системы медицинской информации (СИС) и доклад three - случаи ГБС, которые имели место во время лечения на основе борцезомиба у пациентов с ММ. Был проведен ретроспективный анализ клинических представлений пациентов, диагностических процессов, методов лечения и прогнозов. Кроме того, поиск л

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… Written informed consent for participation was not required from the participants or the participants’ legal guardians/next of kin in accordance with the national legislation and institutional requirements. …

Global utilization of biportal spinal endoscopy: Case series on management of lumbar pathology in Soddo, Ethiopia.

INTRODUCTION: Biportal spinal endoscopy is a safe and cost-effective methodology for the management of lumbar pathology in rural underserved hospitals that have standard orthopaedic arthroscopic equipment, but lack access to microscopy. METHODS: This is a case series noting 1-year outcomes from 5 patients managed with biportal spinal endoscopy during an 11-day mission trip to Soddo, Ethiopia in November 2022. Surgical complications, postoperative assessments, and patient-reported outcomes (PROs) were retrospectively collected and analyzed. Surgical techniques and equipment utilized were share

Сочетание физического объема и риска заболеваний нервной системы: ретроспективное когортное исследование.

ОКРУЖАЮЩАЯ СРЕДА: Объем физической активности (ПАВ) связан с широким спектром последствий для здоровья; однако его связь с случайными заболеваниями нервной системы по-прежнему не до конца изучена. В этом исследовании были изучены их взаимоотношения с использованием данных из UK Biobank. МЕТОДЫ: Было проведено ретроспективное когортное исследование, охватывающее 278,306 - участники из Биобанка Соединенного Королевства. ПАВ была определена как метаболический эквивалент задач (МЕТ) минут в неделю на основе саморегистрируемых уровней физической активности и классифицирована по категориям: three гр

Evaluating the safety and feasibility of allogeneic NK cell infusion in high-risk lymphoma patients post-autologous stem cell transplantation.

Lymphoma, a cancer with poor prognosis is a growing global health challenge that encompasses two primary types, Hodgkin (HL) and non-Hodgkin lymphoma (NHL), each further divided into various subtypes with distinct biological behaviors. Conventional therapeutic strategies include chemotherapy, radiation, surgery, and autologous hematopoietic stem cell transplantation (auto-HSCT). Natural killer (NK) cells exhibit intrinsic cytotoxicity against tumor cells without the need for prior immunization or activation. In this prospective clinical trial, we evaluated the feasibility of allogeneic NK cell

Implementing comprehensive geriatric assessment in an academic hematologic outpatient setting: experiences from medical doctors and patients.

IntroductionThe incidence of most cancers increases with age and cancer is a leading cause of morbidity and mortality in the older population. Older cancer patients frequently have additional co-morbidities and functional decline, which can substantially affect treatment outcomes. Major oncology societies recommend a screening for geriatric impairments in patients at risk (e.g. G8), followed by a comprehensive geriatric assessment (CGA). Nevertheless, CGA is often not established in routine care. We describe the implementation process of CGA in patients with hematological cancers at the Univer

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… Written informed consent for participation was not required from the participants or the participants’ legal guardians/next of kin in accordance with the national legislation and institutional requirements. …

Evaluating the triglyceride glucose index as a predictive biomarker for osteoporosis in patients with type 2 diabetes.

OBJECTIVE: Osteoporosis is a common condition among individuals with type 2 diabetes; however, the relationship between insulin resistance, as measured by the Triglyceride Glucose Index (TyG), and osteoporosis has not been sufficiently explored. This study seeks to address this research gap by investigating the diagnostic value of TyG in identifying osteoporosis in patients with type 2 diabetes. METHODS: A retrospective analysis was performed on clinical data from 207 diabetic subjects (83 in the osteoporosis group, 124 in the non-osteoporosis group), using SPSS version 27.0 and MedCalc 23 fo

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… The Ethics Committee of Panyu Traditional Chinese Medicine Hospital waived the requirement of written informed consent for participation from the participants or the participants' legal guardians/next of kin because of the retrospective nature of data. …

Quality of life and its selected determinants in the group of patients with surgically treated spinal tumors.

INTRODUCTION: Spinal metastases are a common manifestation of advanced neoplastic disease. Destructive neoplastic lesions within the axial skeleton cause unrelieved pain and nervous system disorders involving spinal stenosis and other neural structures. The development of new systemic therapies, radiotherapy and minimally invasive spinal surgeries has increased patients' quality of life by minimising pain and neurological disorders due to vertebral neoplastic infiltration. The aim of the study was to assess the patients' quality of life before and after spine stabilisation surgery with spinal

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… Written informed consent for participation in this study was provided by the participants’ legal guardians/next of kin. Author contributions Conceptualization, BB and DB. Methodology, BB, DB, and GG. Formal analysis, MK and PW. Investigation, BB and DB. Data curation, BB, DB and PW. …