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Medical history predicts phenome-wide disease onset and enables the rapid response to emerging health threats.

The COVID-19 pandemic exposed a global deficiency of systematic, data-driven guidance to identify high-risk individuals. Here, we illustrate the utility of routinely recorded medical history to predict the risk for 1741 diseases across clinical specialties and support the rapid response to emerging health threats such as COVID-19. We developed a neural network to learn from health records of 502,489 UK Biobank participants. Importantly, we observed discriminative improvements over basic demographic predictors for 1546 (88.8%) endpoints. After transferring the unmodified risk models to the All

A systematic review and meta-analysis of interventional studies of bisphosphonates and denosumab in multiple myeloma and future perspectives.

Bisphosphonates (BPs) and denosumab (DENOS), due to their ability to inhibit osteoclast activity, are used to prevent skeletal complications in multiple myeloma (MM) patients. The NCBI PubMed, Web of Science, Scopus and ClinicalTrials.gov databases, were systematically searched for interventional studies, assessing the use of BP and DENOS in MM patients. Overall survival, disease progression, skeletal-related events, bone pain, osteonecrosis of the jaw (ONJ) and renal toxicity were the outcomes of interest. A total of 993 studies were retrieved and 43 were used for qualitative synthesis. Clodr

Профилактика и лечение венозного тромбоэмболия у пациентов с множественной миеломой: руководящие принципы клинической практики от имени Европейской сети миеломы.

Венозный тромбоэмболизм (VTE) является частым осложнением у пациентов с множественной миеломой (MM), что приводит к повышению заболеваемости, смертности, прерыванию лечения и снижению качества жизни. Основные рекомендации включают следующее: Информирование пациентов о риске ВТЕ и признаках/симптомах тромбоза глубокой вены и легочной эмболии. Специализированная помощь. - создание специализированного диагностического и лечебного механизма для профилактики и лечения ВТЕ в амбулаторных условиях. Оценка рисков. Регулярная оценка риска VTE с использованием подтвержденных оценок. Первичная тромбопроф

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… A small study of 37 NDMM patients or relapsed disease compared the efficacy and safety of thromboprophylaxis with warfarin at doses adapted to achieve an international normalized ratio (INR) of 2–3 or apixaban 2.5 mg twice daily for 3 months. No VTE events were observed in the warfarin group. … Abbreviations: aPTT, activated partial thromboplastin time; CrCl, creatinine clearance; DOAC, direct oral anticoagulant; INR, international normalized ratio; iv, intravenous; LMWH, low‐molecular‐weight heparin; o.d., once daily; UFH, unfractionated heparin; VTE, venous thromboembolism; Xa, activated …

SECURE study: baseline findings from a UK prospective cohort of incidentally detected MGUS.

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Clinical and Etiological Profiles of Patients With Pancytopenia in a Tertiary Care Hospital.

Background Pancytopenia is more of a manifestation of a spectrum of underlying diseases affecting the bone marrow. Specific treatment relies solely on early diagnosis and identification of the accurate etiology. We aimed to generate data on the clinical and etiological profiles of patients diagnosed with pancytopenia. Materials and methods Fifty patients more than 13 years of age with pancytopenia who reported to a tertiary care hospital were included in the study. Thorough clinical examination, hematological investigation, and bone marrow biopsies were performed, and relevant data were record

Cancer-related hypercalcemia and potential treatments.

Cancer-related hypercalcemia is a common finding typically seen in patients with advanced cancer and occurs in about 20 to 30 percent of cases. The most common cause of hypercalcemia in hospitalized patients is hypercalcemia due to malignancy.This clinical problem is seen in patients with both solid tumors and patients with hematologic malignancies. Hypercalcemia is associated with a poor prognosis in oncology patients. This pathologic condition can occur due to many different mechanisms but is usually caused by abnormal calcium use resulting from bone resorption, intestinal absorption, or ren

Early bilirubinemia after allogeneic stem cell transplantation-an endothelial complication.

Hyperbilirubinemia occurs frequently after allogeneic stem cell transplantation. Causes include primary liver damage and endothelial complications as major contributors. Here, we have investigated the impact of early bilirubinemia (EB) on posttransplant outcomes. Maximum total bilirubin levels (days 0-28) were categorized using maximally selected log rank statistics to identify a cut off for the endpoint non-relapse mortality (NRM) in a training cohort of 873 patients. EB above this cut off was correlated with NRM and overall survival (OS) and with pre- and posttransplant Angiopoietin-2, inter

Немецкий многоцентральный анализ талькетамаба в реальном мире 138 - пациенты с повторной/реактивной миеломой.

Удельные Т-клиники (ББТЦ) представляют собой изменение парадигмы в подходе к повторной/охлажденной миеломе (RRMM). Talquetamab, GPRC5DxCD3 BTCE, продемонстрировал многообещающие результаты: MonumenTAL-1 и недавно был одобрен Администрацией продовольствия и лекарств и Европейским агентством по медицине. Однако лечение в реальных условиях может не представлять собой характеристику пациента при клинических испытаниях с ограниченными критериями охвата. Мы провели ретроспективный анализ реального мира, включая 138 Пациенты БРМ лечили талькетамабом 21 Немецкие центры. Излечимых пациентов, 43% ISS II

Risk of malignancy in adult patients with congenital heart disease: a clinical practice review.

This paper presents case studies of adult patients with congenital heart disease (CHD) who developed cancer and also discusses relevant epidemiological studies, risk factors, and reports on early detection. Herein, we describe three cases: a 63-year-old man with an atrial septal defect and multiple myeloma; a 48-year-old man with tetralogy of Fallot and colorectal cancer; and a 25-year-old man with Fontan circulation and hepatocellular carcinoma (HCC). Previous studies have found that the incidence of cancer in adult patients with CHD is higher than that in the general population. The manageme

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… For patients with fibrosis, they advise laboratory liver tests, blood cell counts, and prothrombin time/international normalized ratio checks every 6 months, although the laboratory items for the evaluation of liver fibrosis in patients with Fontan-associated liver disease have not been established ( …

Резюме: 31 Европейский конгресс патологии.

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Current Data and Future Perspectives on Patients with Atrial Fibrillation and Cancer

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Efficacy of oral cryotherapy on oral mucositis prevention in patients with hematological malignancies undergoing hematopoietic stem cell transplantation: a meta-analysis of randomized controlled trials.

ObjectivesControversy exists regarding whether oral cryotherapy can prevent oral mucositis (OM) in patients with hematological malignancies undergoing hematopoietic stem cell transplantation (HSCT). The aim of the present meta-analysis was to evaluate the efficacy of oral cryotherapy for OM prevention in patients with hematological malignancies undergoing HSCT.MethodsPubMed and the Cochrane Library were searched through October 2014. Randomized controlled trials (RCTs) comparing the effect of oral cryotherapy with no treatment or with other interventions for OM in patients undergoing HSCT were

Characteristics and Outcomes of Patients with Partial Do Not Resuscitate Orders in a Large Community Hospital.

Background Formal writing of do not resuscitate (DNR) orders first appeared in the literature in the late 20th century. Recently, providers have also noticed the presence of partial DNR orders while caring for patients. We sought to determine the effect of these orders on the clinical outcomes of the patients. Methods The study was a retrospective chart review covering a period of approximately 30 months. Patients included in the study were over 18 years of age and had a partial DNR order (i.e., chemical code, do not defibrillate (DND), do not intubate (DNI), intubate only, no cardiopulmonary

Анализ биологических возрастных показателей в ходе клинических испытаний на ремимилинацию.

Улучшение ремонта миелина CNS (восстановление) является перспективной стратегией предотвращения нейродегенерации и связанной с этим постепенной инвалидности при множественном склерозе. Ремиэлизация становится неэффективной в более старшем хронологическом возрасте, но связь между показателями биологического возраста и воспоминанием ранее не описывалась в клинической когорте. Здесь, мы расследовали two - показатели биологического возраста среди участников Кембриджского центра миелинового ремонта One bexarotone: МРТ (BAMRI) и основанный на крови биологический возраст (BABlood). У людей с радиолог

Monitoring Minimal Residual Disease in Patients with Multiple Myeloma by Targeted Tracking Serum M-Protein Using Mass Spectrometry (EasyM).

PurposeWe investigated both the clinical utilities and the prognostic impacts of the clonotypic peptide mass spectrometry (MS)-EasyM, a blood-based minimal residual disease (MRD) monitoring protocol in multiple myeloma.Experimental designA total of 447 sequential serum samples from 56 patients with multiple myeloma were analyzed using EasyM. Patient-specific M-protein peptides were sequenced from diagnostic samples; sequential samples were quantified by EasyM to monitor the M-protein. The performance of EasyM was compared with serum immunofixation electrophoresis (IFE), bone marrow multiparame

Pericardial effusion secondary to epicardial undifferentiated pleomorphic sarcoma in a young cat.

CASE SUMMARY: A 6.4 kg 3-year-old male neutered indoor-outdoor domestic shorthair cat was referred for further evaluation of non-resolving lethargy and hyporexia of 4 days' duration. Physical examination identified tachypnea with mild respiratory effort and muffled lung sounds bilaterally. Point-of-care ultrasound revealed a large volume of pleural and pericardial effusion (PCE), which was confirmed by thoracic radiography. Echocardiogram indicated normal cardiac function but revealed a mass-like structure along the left epicardium within the pericardial space. After 72 hours in hospital, re-e

Indolent systemic mastocytosis limited to the bone: a case report and review of the literature.

CONTEXT Systemic mastocytosis is defined as a clonal disorder of mast cells and their precursor cells and is currently classified as a myeloproliferative neoplasm. Its clinical course has a wide spectrum, ranging from indolent disease, with normal life expectancy, to highly aggressive disease, associated with multisystemic involvement and poor overall survival. The aim of this study was to report a case of indolent systemic mastocytosis, focusing on the diagnostic challenges, with a review of the literature. CASE REPORT A 79-year-old Caucasian woman with osteoporosis was evaluated at the Emerg

Light-Chain Amyloidosis: The Great Impostor.

Light-chain amyloidosis (AL) is a disease of protean manifestations due to a wide spectrum of organs that can be affected. The disorder is caused by the deposition of an extracellular amorphous material, the amyloid, which is produced by malignant plasma cells. The latter usually reside in the bone marrow; plasma cell infiltration is often low, in sharp contrast to what we observe in multiple myeloma. The disease may run below the physician's radar for a while before clinical suspicion is raised and targeted tests are performed. In this short review, we try to answer most of the questions that

Predicting cumulative incidence of adverse events in older patients with cancer undergoing first-line palliative chemotherapy: Korean Cancer Study Group (KCSG) multicentre prospective study.

BackgroundOlder patients have increased risk of toxicity from chemotherapy. Current prediction tools do not provide information on cumulative risk.MethodsPatients aged ≥ 70 years with solid cancer were prospectively enrolled. A prediction model was developed for adverse events (AEs) ≥ Grade 3 (G3), based on geriatric assessment (GA), laboratory, and clinical variables.Results301 patients were enrolled (median age, 75 years). Median number of chemotherapy cycles was 4. During first-line chemotherapy, 53.8% of patients experienced AEs ≥ G3. Serum protein ConclusionsThis prediction tool could ide

Нейромиелит Оптика Спектрум С односторонним ретробулбаром Неритом: доклад по делу.

Нейромиелитное расстройство спектра (NMOSD) включает в себя аутоиммунное генезис, проявляющееся в атаках оптического неврата (ON) и поперечного миелита (TM), а также экспрессивное аквапорина 4 (NMO-IgG) или миелин олиго-эндокитного гликотеина (MOGAb). В редких случаях болезнь может также иметь клиническое представление только с ТМ без ТМ и без ТМ. Эти условия также включены в спектр. Мы представляем случай 50-летнего пациента с жалобами на размытое зрение в левом глазу, боль в шее и онемение рук за несколько месяцев до госпитализации.После консультации с офтальмологом была произведена магнитна