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Топография инфонтенторных повреждений в депрессии и тревоге при множественном склерозе.

БОЛЕЕ: Депрессия и тревога широко распространены при множественном склерозе и оказывают значительное воздействие на результаты лечения пациентов. Однако их связь с конкретными областями обезвоживания остается неясной. ЗАДАЧИ: В настоящем исследовании рассматривается связь между инфантентными повреждениями и депрессией или тревогой с уделением особого внимания трем областям, представляющим интерес: рэфе-нуклей, колокольчик коэулеус и мозговой лобуле VIIА. В клинике когнитивной нейроиммунологии Королевской мельбурнской больницы были приняты на работу пациенты. Участники были отнесены к группам "

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… The examples demonstrate our delineation of medial and lateral midbrain ( a ), pons ( b ) and medulla oblongata ( c ). … The examples demonstrate our delineation of medial and lateral midbrain ( a ), pons ( b ) and medulla oblongata ( c ). …

Cancer during a pandemic: A psychosocial telehealth intervention for young adults.

The SARS-II COVID-19 pandemic has posed pronounced global health threats and prompted assorted transformations in societal engagement and clinical service delivery. For cancer survivors, many of whom are immune-compromised, these pandemic-related health threats pose greater challenges, warranting extra precautions within everyday living. Young adult (YA) cancer survivors already confront many unique physical and emotional challenges specific to their demographic. Already comfortable with assorted technologies, the pandemic presented an opportunity to provide telehealth intervention that target

Development, acceptability and uptake of an on-line communication skills education program targeting challenging conversations for oncology health professionals related to identifying and responding to anxiety and depression.

BackgroundAnxiety and depression screening and management in cancer settings occurs inconsistently in Australia. We developed a clinical pathway (ADAPT CP) to promote standardized assessment and response to affected patients and enhance uptake of psychosocial interventions. Health professional education is a common strategy utilised to support implementation of practice change interventions. We developed an interactive on-line education program to support staff communication and confidence with anxiety/depression screening and referral prior to the ADAPT CP being implemented in 12 oncology ser…

Расширенная техническая и клиническая проверка сегментации глубокого мозга на основе изучения для применения в нейродегенеративных заболеваниях.

Дефекты центральной нервной системы, включая нейродегенеративные заболевания, часто влияют на мозговую стержень и могут вызывать атрофию. Это исследование преследовало следующие цели:1) оптимизация сегментации мозга на основе глубокого обучения для широкого круга патологий и T1-weighted параметры для получения изображения,2) проводить систематическую техническую и клиническую проверку (;3) повышать качество сегментации в присутствии повреждений головного мозга; и4) создать оптимизированный инструмент сегментации мозга для общественного пользования. Набор преднамеренно неоднородных наземных дан

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… In a cranio‐caudal order, it consists of the three substructures, mesencephalon, pons, and medulla oblongata (Figure  1a ). Brainstem segmentation performance. … The difference between ground truth masks and uncorrected FreeSurfer brainstem segmentation masks was smallest for the pons and largest for the medulla oblongata (Table  S2 ). …

Emotional Distress in Portuguese Cancer Patients: The Use of the Emotion Thermometers (ET) Screening Tool.

Cancer patients may experience significant distress. The "Emotion Thermometers" (ETs) are a short visual analogue scale used to screen patients for psychosocial risk. This study aimed to assess emotional distress in a large sample of cancer patients attending psychological services at an non-governmental organization (NGO), and to explore factors that may contribute to it. The ETs were answered by 899 cancer patients. They were, on average, 59.9 years old, the majority were female, had breast cancer, were under treatment or were disease-free survivors, and reported high levels of emotional dis

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

Resilience in Cancer Patients.

Background: Being diagnosed with cancer and undergoing its treatment are associated with substantial distress that can cause long-lasting negative psychological outcomes. Resilience is an individual's ability to maintain or restore relatively stable psychological and physical functioning when confronted with stressful life events and adversities. Posttraumatic growth (PTG) can be defined as positive life changes that result from major life crises or stressful events. Objectives: The aims of this study were to 1) investigate which factors can strengthen or weaken resilience and PTG in cancer pa

Синдром Нейро-Бехчета: доклад по делу.

Синдром Бехчета является системным васкулитом, характеризующимся повторяющимися оральными и генитальными язвами, увеитизмом и часто связанным с множественными системами органов. Неврологическое участие является редким осложнением синдрома Бехчета и связано со значительной заболеваемостью и смертностью. Синдром Neuro-Behchet (NBS) представляет собой сочетание неврологических проявлений у пациента с синдромом Бехчета, включая расстройства движения, миэлопатический синдром, внутричерепную гипертонию и многократную склероз-подобную презентацию. Диагноз NBS может быть проблематичным из-за широкого

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… MRI brain without contrast (T2 FLAIR) showing hyperintense area extending from the mid-right pons through the midbrain, thalamus, and into the posterior limb of the right internal capsule, concerning for demyelination. Arrows highlight the areas of concern. … He underwent a repeat CT head, which demonstrated an asymmetrically edematous right cerebral peduncle extending into the upper pons, as seen in Figure 2 . CT head A CT scan of the head shows an asymmetrical edema in the right cerebral peduncle (arrow), which extends into the upper pons. …

A Qualitative Investigation of Health Care Professionals', Patients' and Partners' Views on Psychosocial Issues and Related Interventions for Couples Coping with Cancer.

IntroductionThere is growing evidence that cancer affects couples as an interdependent system and that couple-based psychosocial interventions are efficacious in reducing distress and improving coping skills. However, adoption of a couples-focused approach into cancer care is limited. Previous research has shown that patients and partners hold differing views from health care professionals (HCPs) regarding their psychosocial needs, and HCPs from different disciplines also hold divergent views regarding couples' psychosocial needs. This study aimed to explore the perspectives of HCPs and couple

Interpersonal emotion regulation and mental health among cancer survivors: A systematic review.

ObjectiveCancer and its treatment can cause significant emotional distress, adversely affecting mental health. Interpersonal emotion regulation, the process by which individuals regulate emotions through social interactions, plays a critical role in cancer survivorship. This study systematically reviews evidence on the associations between interpersonal emotion regulation and mental health outcomes among cancer survivors, along with the theoretical models guiding this research.MethodsA systematic search was conducted in PubMed, Embase, Web of Science, and Scopus databases, yielding 6928 record

A pilot study of improved psychological distress with art therapy in patients with cancer undergoing chemotherapy.

BACKGROUND: Art therapy may improve the physical, mental, and emotional wellbeing of individuals for a variety of purposes. It remains understudied and underutilized in cancer care. We sought to determine the ability of a pilot art therapy program to improve the physical, mental, and emotional well-being of cancer patients. METHODS: Chemotherapy-recipients, age 18 years and older, diagnosed with any type or stage of cancer, were considered eligible to participate in this single arm, pilot study, using four visual analog scales (VAS) with visually-similar, 0-10 scale (10 being worst) thermomet

Association of resilience with health-related quality of life and depression in multiple myeloma and its precursors: results of a German cross-sectional study.

OBJECTIVES: To investigate the relation between resilience, health-related quality of life (HRQOL) and depression in multiple myeloma (MM) and its premalignant stages. MM is one of the most frequent haematological disorders. It is regularly preceded by asymptomatic stages of the disease namely monoclonal gammopathy of undetermined significance (MGUS) and smouldering multiple myeloma (SMM). Survivors have to cope with mental and physical impairment in terms of HRQOL and depression. The concept of resilience refers to a person's ability to adapt to adversity. DESIGN: Cross-sectional study. SET

Множественная миелома у людей трудоспособного возраста в Германии, Польше и Чехии: результаты качественного исследования.

ЦЕЛЬ: Цель исследования состояла в том, чтобы понять опыт взрослых трудоспособного возраста с миеломой и их партнерами/членами семьи, проживающими в Германии, Чешской Республике и Польше. МЕТОДЫ: КОНСУЛЬТАТИВНЫЕ СООБРАЖЕНИЯ 36 взрослых трудоспособного возраста, живущих с миеломой, и three Члены семьи. Данные были собраны в период с мая по октябрь 2022. К данным был применен тематический анализ. Результаты: Описано медицинское обслуживание и государственная поддержка в каждой стране. Степень участия в трудовой деятельности зависит от бремени симптомов пациентов, потребностей в лечении, государс

Fear of cancer recurrence and associated factors in family caregivers of patients with hematologic malignancy receiving chemotherapy: A latent profile analysis.

ObjectiveThis study identified the potential subgroups of fear of cancer recurrence (FCR) in family caregivers (FCs) of patients with hematologic malignancies receiving chemotherapy, as well as exploring factors associated with subgroups.MethodsThis was a cross-sectional study involving 206 pairs of participating patients with hematologic malignancies receiving chemotherapy and their FCs. Using Mplus 8.3 to perform the latent profile analysis of FCs' FCR, the FCs' burden, quality of life, psychological resilience, and anxiety as well as their demographic characteristics were compared between t

Examining the levels of psychological support available to patients with haematological cancer in England: a mixed methods study.

ObjectivesThe psychological impact of a haematological malignancy is well documented. However, few studies have assessed the provision of psychological support to people with these diagnoses. This study explores the extent and nature of psychological support for people diagnosed with haematological cancer to inform future service provision.DesignThis study consisted of an online survey with healthcare professionals (phase 1) and qualitative interviews with patients (phase 2) and key health professionals (phase 3). A descriptive analysis of survey data and thematic analysis of interviews were c

Psychosocial Determinants of Lifestyle Change after a Cancer Diagnosis: A Systematic Review of the Literature.

The aim of this study is to provide a systematic overview of the scientific literature on sociodemographic, psychological and social determinants that may facilitate or hamper lifestyle change after the diagnosis cancer. Four databases (PubMed, PsychINFO, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Web of Science) were searched for relevant papers up to October 2021. Of the 9586 references yielded by the literature search, 123 papers were included: 71 quantitative and 52 qualitative papers. Findings showed a large variety of determinants influencing lifestyle change

Couples Coping With Hematological Cancer: Support Within and Outside the Couple - Findings From a Qualitative Analysis of Dyadic Interviews.

ObjectiveCancer affects the patients as well as their partners. Couples use different strategies to cope with cancer and the associated burden: individual coping, dyadic coping, and support from the social network and from professional health care. The aim of this qualitative dyadic interviews is to gain a deeper and more differentiated understanding of the support system inside and outside of the couple.MethodsTen heterosexual couples (patients: seven men and three women) with different ages (patients: range = 22-75; spouses: range = 22-74), different hematological cancer (e.g., acute myeloid

Действенность и безопасность оральных препаратов, изменяющих болезни, при лечении повторно излучающего многообразного склероза: систематический обзор и сетевой метаанализ.

КОЛИЧЕСТВО: Повторный множественный склероз (RRMS) является хроническим воспалительным демиелинистическим заболеванием, затрагивающим центральную нервную систему и характеризующимся сложным патогенезом и увеличением годовой заболеваемости. Несмотря на то, что в настоящее время клинические мероприятия в рамках ОРУО носят разнообразный характер, по-прежнему относительно мало прямых сравнительных исследований по вопросам эффективности и безопасности различных перорально-модифицирующих препаратов, что приводит к недостаточности всеобъемлющих данных.ЦЕЛЬ: Цель настоящего исследования заключается в

Brief Report: Hispanic Patients' Trajectory of Cancer Symptom Burden, Depression, Anxiety, and Quality of Life.

Background: Anxiety and depression symptoms are known to increase cancer symptom burden, yet little is known about the longitudinal integrations of these among Hispanic/Latinx patients. The goal of this study was to explore the trajectory and longitudinal interactions among anxiety and depression, cancer symptom burden, and health-related quality of life in Hispanic/Latinx cancer patients undergoing chemotherapy.MethodsBaseline behavioral assessments were performed before starting chemotherapy. Follow-up behavioral assessments were performed at 3, 6, and 9 months after starting chemotherapy. D

Development of Psychosocial Distress in Cancer Survivors and Its Potential Prognostic Impact on Survival: A Scoping Review.

BackgroundWhile single-point assessments of psychosocial distress have been associated with survival outcomes, investigations examining longitudinal changes in psychosocial distress and survival outcomes remain limited.AimsThis scoping review evaluates existing literature on longitudinal distress patterns and their association with survival outcomes.MethodsA comprehensive search was performed in PubMed, Web of Science, and PsycInfo databases up to January 2025. Studies were eligible if they included adult cancer survivors, measured psychological distress using validated instruments at minimum