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Mobile Application to Promote Adherence to Oral Chemotherapy and Symptom Management: A Protocol for Design and Development.

BackgroundOral chemotherapy is increasingly used in place of traditional intravenous chemotherapy to treat patients with cancer. While oral chemotherapy includes benefits such as ease of administration, convenience, and minimization of invasive infusions, patients receive less oversight, support, and symptom monitoring from clinicians. Additionally, adherence is a well-documented challenge for patients with cancer prescribed oral chemotherapy regimens. With the ever-growing presence of smartphones and potential for efficacious behavioral intervention technology, we created a mobile health inte

Complication Avoidance in Surgical Management of Vertebral Column Tumors.

The surgical management of spinal tumors has grown increasingly complex as treatment algorithms for both primary bone tumors of the spine and metastatic spinal disease have evolved in response to novel surgical techniques, rising complication rates, and additional data concerning adjunct therapies. In this review, we discuss actionable interventions for improved patient safety in the operative care for spinal tumors. Strategies for complication avoidance in the preoperative, intraoperative, and postoperative settings are discussed for approach-related morbidities, intraoperative hemorrhage, wo

Последние новости и достижения в области диагностики и управления клетками Плазмы.

Плазменные клеточные дискразии (ПХД) охватывают разнородную группу расстройств, начиная от асимптоматических свойств-прекурсоров, таких, как моноклональная гаммопатия неопределенного значения (MGUS) и заморозка множественной миеломы (SMM) и кончая открытой множественной миеломой (MM), первичной плазменной лейкемией и системным амилоидозом. Этот обзор основан на структурированном поиске литературы, опубликованной между PubMed, Scopus, Cochrane Bibrary и Web of Science. 2015 и 2025, дополненные референцной проверкой и основными международными руководящими принципами в отношении миэломы для обесп

Attrition rates and treatment outcomes in multiple myeloma: real-world data over a 40-year period.

The treatment landscape of multiple myeloma (MM) has evolved significantly over four decades, driven by novel therapies and optimized supportive care. However, the attrition rate (AR), defined as the proportion of patients who die without advancing to the next line of therapy (LOT) after treatment failure, remains a major challenge. To assess how treatment patterns and outcomes have evolved, we analyzed 1,297 MM patients treated between 1980 and 2020, stratified by diagnosis period and age. ARs declined from 38-55% in the 1980s to 15-20% in 2010-2020, but remained high in older patients, with

A narrative review on trazodone as a multimodal and multifunctional antidepressant: clinical relevance of formulations, dosing, and pharmacokinetic/pharmacodynamic targets.

BackgroundTrazodone, an antidepressant, has only been approved for use in major depressive disorder (MDD), but has demonstrated potent therapeutic potential in various conditions, such as insomnia and anxiety. It targets multiple serotonergic, adrenergic, and histaminergic receptors. Given this multimodal and multifunctional profile, we aimed to provide a comprehensive overview of the pharmacodynamic and pharmacokinetic properties of trazodone and its clinical applications across various conditions.Main textTrazodone demonstrates sedative and anxiolytic effects even at a low dose (25-75 mg) an

Устойчивые выгоды мультидоменального стиля жизни при множественном склерозе в исследовании LIMS: A 24-Month Продолжайте.

СПРАВОЧНАЯ ИНФОРМАЦИЯ И ЦЕЛИ: Множественный склероз (МС) часто приводит к физическим, когнитивным и психологическим расстройствам, существенно влияющим на повседневное функционирование и качество жизни. Поскольку нынешняя медикаментозная медикаментозная терапия не в полной мере предотвращает прогресс в развитии заболеваний, интерес к потенциальной роли изменяемых факторов образа жизни растет. Мы провели оценку.1) сохранялось ли воздействие на результаты, представляемые пациентами 24 месяцев и2) долгосрочные изменения в образе жизни после завершения программы MS.МЕТОДЫ: УЧАСТНИКИ СООБЩЕНИЙ 3-mo

Отсутствие взаимодействия между 5α-сокращенные ингибиторы и глюкокортикоиды при инфаркте миокарда у людей с типом 2 Диабет.

Цели людей с типом 2 диабет сталкивается с повышенным кардиометаболическим риском, и как синтетические глюкокортикоиды, так и использование 5Ингибиторы α-редукции в индивидуальном порядке связаны с повышенным риском инфаркта миокарда. Мы проверили, не усугубляется ли рост риска в результате совместного назначения обоих лекарственных средств. Пациенты с типом 2 диабет в возрасте ≥ 40 годы получения 5α-редукционные ингибиторы или тамсулосин, которые пользовались системными глюкокортикоидами во время 2006-2021 были включены. Мы смоделировали совместный эффект 5Ингибиторы α-редуктазы и кумулятивно

Allogeneic and other innovative chimeric antigen receptor platforms.

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Short-Chain Fatty Acid Production by Gut Microbiota Predicts Treatment Response in Multiple Myeloma.

PurposeThe gut microbiota plays important roles in health and disease. We questioned whether the gut microbiota and related metabolites are altered in monoclonal gammopathies and evaluated their potential role in multiple myeloma and its response to treatment.Experimental designWe used 16S rRNA sequencing to characterize and compare the gut microbiota of patients with monoclonal gammopathy of undetermined significance (n = 11), smoldering multiple myeloma (n = 9), newly diagnosed multiple myeloma (n = 11), relapsed/refractory multiple myeloma (n = 6), or with complete remission (n = 9). Short-

Patterns of Treatment for Metastatic Pathological Fractures of the Spine: The Efficacy of Each Treatment Modality.

BACKGROUND: Metastatic pathological fractures of the spine are a major problem for cancer patients; however, there is no consensus on treatment strategy. The purpose of this study was to evaluate various treatment options by analyzing their patterns for metastatic pathological fractures of the spine. METHODS: In this study, 54 patients (male:female = 36:18) who were diagnosed with metastatic pathological fractures of spine were recruited. Demographic data, origin of cancer, type of treatment, and results were obtained from electronic medical records. Treatment options were divided into radiot

Pharmacovigilance in Cell and Gene Therapy: Evolving Challenges in Risk Management and Long-Term Follow-Up.

Cell and gene therapies, including CAR T-cells, CRISPR-based genome editing, and next-generation viral and non-viral delivery platforms, are transforming treatment paradigms across cancer, rare genetic disorders, immune dysregulation, and neurodegenerative disease. These therapies offer curative potential but also present safety challenges owing to prolonged biological activity, systemic immune engagement, and lasting genomic alterations. This review examines the range of related toxicities, including immune complications, genotoxicity, and organ-specific effects, with attention to atypical pr

Воздействие транскраниального и транспинарного прямого течения в сочетании с тренировкой роботов по гейту и удовольствию у пациентов с множественным склерозом: двойное склерозное, распутное, контролируемое исследование.

Фон/цели: Множественный склероз (MS) является хроническим неврологическим заболеванием, которое ухудшает двигательные и сенсорные функции, особенно походку. Неинвазивные методы нейромодуляции направлены на повышение эффективности функционального восстановления и воздействия моторных когнитивных эффектов, хотя их эффективность по-прежнему обсуждается. В этом исследовании сопоставлялось воздействие транскраниального прямого тока (tDCS) и трансспинарного прямого тока (tDCS), в сочетании с роботизированным обучением походов (RAGT), на моторную функцию и усталость людей с MS (pwMS). Методы: Эти дво

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… Notably, within-group improvements surpassed the minimal detectable change (MDC) and minimal clinically important difference (MCID) thresholds for tsDCS and tDCS groups. … Minimal Clinically Important Difference for Change in Comfortable Gait Speed of Adults with Pathology: A Systematic Review. J. Eval. Clin. Pract. 2014;20:295–300. doi: 10.1111/jep.12158. 47. Mehta L., McNeill M., Hobart J., Wyrwich K.W., Poon J.L., Auguste P., Zhong J., Elkins J. …

T-Cell Acute Lymphoblastic Leukemia-Current Concepts in Molecular Biology and Management.

T-cell acute lymphoblastic leukemia (T-ALL) is an uncommon, yet aggressive leukemia that accounts for approximately one-fourth of acute lymphoblastic leukemia (ALL) cases. CDKN2A/CDKN2B and NOTCH1 are the most common mutated genes in T-ALL. Children and young adults are treated with pediatric intensive regimens and have superior outcomes compared to older adults. In children and young adults, Nelarabine added to frontline chemotherapy improves outcomes and end of consolidation measurable residual disease has emerged as the most valuable prognostic marker. While outcomes for de-novo disease are

Гейт-образец у людей с множественным склерозом: систематический обзор

Цель настоящего систематического обзора состояла в том, чтобы описать походку у людей с множественным склерозом (МС) путем обобщения основных выводов, полученных в ходе исследований с использованием three- размерные системы захвата человеческого движения. Поиск проводился в базах данных PubMed, Web of Science, Physiophicy Database (PEDro) и Cumulative Index to Medersing and Allid Health (CINAHL). Использовавшиеся исследования three- были включены системы анализа размеров походов, в которых анализировались спектральные, кинетические, кинетические или электромиографические параметры. Качество ис

Effects of a Cognitive Behavioral Digital Therapeutic on Anxiety and Depression Symptoms in Patients With Cancer: A Randomized Controlled Trial.

PURPOSE: Patients with cancer often experience elevated levels of distress. This double-blind, randomized controlled trial compared the impact of an app-based version of cognitive behavioral stress management (CBSM) versus a health education sham app on anxiety and depression symptoms. METHODS: Patients with nonmetastatic (stage I-III) cancer who were receiving or recently completed (≤6 months) systemic treatment were recruited nationwide. The primary outcome of change in anxiety symptoms (PROMIS-Anxiety) over 12 weeks and the top secondary outcome of change in depression symptoms (PROMIS-Dep

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… Within the attune condition, the change in PROMIS-A and PROMIS-D scores observed over 12 weeks exceeds the minimal clinically important difference of 3.0-4.5 points. 41 More participants in the attune compared with the cerena condition self-reported that their anxiety and depression was much or very …

Developing tumor-specific PRO-CTCAE item sets: analysis of a cross-sectional survey in three German outpatient cancer centers.

BACKGROUND: To include the patient perspective in the assessment of adverse events in oncology, a patient-reported outcomes (PRO) version of the Common Terminology Criteria for Adverse Events (CTCAE) was developed by the US National Cancer Institute, the so called PRO-CTCAE. The objective of this study was the development of disease-specific PRO-CTCAE item sets for patients with breast cancer (BC), multiple myeloma (MM), and prostate cancer (PC). METHODS: The cross-sectional survey was conducted at three German outpatient cancer centers. Prevalence and importance of the 78 PRO-CTCAE symptoms

Effects of nurse-led symptom management in chronic myeloid malignancies: a randomized trial.

PurposeChronic hematological malignancies progress slowly, potentially manifesting symptoms spanning months to years. HM-PRO is developed as a comprehensive clinical tool for assessing symptoms in hematology. The aim was to investigate the effect of a nurse-led systematic approach to symptom identification and management using HM-PRO in outpatient care in patients with chronic hematological malignancies.MethodsThis is a randomized trial including 94 patients to investigate an intervention comprising (1) HM-PRO data collection, (2) HM-PRO assessment guided by an algorithm, and (3) nurse-led tai

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… Lemay KR Tulloch HE Pipe AL Reed JL Establishing the minimal clinically important difference for the hospital anxiety and depression scale in patients with cardiovascular disease J Cardiopulm Rehabil Prev 2019 39 E6 E11 10.1097/HCR.0000000000000379 30489438 Lemay KR, Tulloch HE, Pipe AL, Reed JL (2019 … ) Establishing the minimal clinically important difference for the hospital anxiety and depression scale in patients with cardiovascular disease. …

Ten-year trends in the treatment and intervention timing for patients with metastatic spinal tumors: a retrospective observational study.

BackgroundCancer treatment has recently evolved due to the advances in comprehensive therapies, including chemotherapy and radiotherapy. The aspect of cancer-related bone metastasis has undergone a paradigm shift with the transformation of orthopedic interventions for spinal metastasis. We performed this retrospective observational study to investigate the changes in patient status and metastatic spine-tumor treatment over the past decade.MethodsWe included 186 patients (122 men and 64 women; mean age: 67.6 years) who were referred to our hospital between 2009 and 2018 and were diagnosed and t

Clinical Posters From JADPRO Live 2022

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СНМИКОН 2024 Резюме

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