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Treatment decision making (TDM): a qualitative study exploring the perspectives of patients with chronic haematological cancers.

OBJECTIVES: Haematological malignancies are the fifth most common cancer in the UK, with chronic subtypes comprising around a third of all new diagnoses. These complex diseases have some similarities with other cancers, but often require different management. Surgical resection is not possible, and while some are curable with intensive chemotherapy, most indolent subtypes are managed with non-aggressive intermittent or continuous treatment, often over many years. Little is known about the views of patients with chronic haematological cancers regarding treatment decision making (TDM), a deficit

Supportive care interventions in hematopoietic stem cell transplantation: a systematic review and meta-analysis.

AbstractThere is no comprehensive synthesis of supportive care interventions for patients with hematologic malignancies receiving transplantation and cellular therapies (TCTs). This systematic review and meta-analysis aimed to characterize randomized controlled trials (RCTs) of TCT supportive care interventions and examine effects on patient-reported outcomes (PROs). We systematically searched MEDLINE, Embase, CINAHL, PsycInfo, Web of Science, and Cochrane Central Register of Controlled Trials. Risk of bias was assessed using Cochrane Risk of Bias 2.0. Findings were grouped by intervention and

Exercise as a Therapeutic Strategy to Improve Cerebrovascular Function and Cognition in Breast Cancer Survivors: A Scoping Review.

Breast cancer is the most diagnosed cancer globally. While the breast cancer prevalence continues to rise, so too do patient survival rates, thus resulting in a large survivor population. Up to 75% of this population report experiencing cancer-related cognitive impairment during their cancer journey, thus reducing their quality of survivorship. This review systematically evaluates the effect of physical activity and exercise training on cerebrovascular function and cognition in breast cancer survivors. Cross-sectional, intervention or observational studies that examined the effect of acute or

Обычные и передовые магнитные резонансы, воображающие биомаркеры множественного склероза в мозгу.

Множественный склероз (MS) является разнородным заболеванием, и у каждого пациента MS наблюдаются различные клинические симптомы, которые отражаются в результатах магнитного резонансного изображения (MRI). Каждое поражение MS должно толковаться тщательно и оцениваться в сочетании с клиническим обследованием. МРТ играет важную роль в оценке того, как повреждения MS агрегируются в центральной нервной системе и как они меняются с течением времени. Существует несколько традиционных биомаркеров MS, которые могут использоваться для оценки каждого фенотипа MS. МРТ является полезным инструментом для п

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… In addition, these lesions can be seen within the infratentorial areas, in either the pons or cerebellum. … If there is an MS lesion within the pons, the patient typically experiences severe neurological symptoms [ 37 ]. …

Testing psychosocial mediators of a mind-body resiliency intervention for cancer survivors.

PurposeGroup-based mind-body interventions such as the Stress Management and Resiliency Training-Relaxation Response Resiliency Program (SMART-3RP) hold promise for enhancing resiliency among cancer survivors. Mechanisms underlying improvements in psychological outcomes are theoretically established but remain unexamined empirically.MethodsAdult cancer survivors (n = 105) participating in the SMART-3RP completed surveys of resiliency and five hypothesized mediators: coping (ability to relax physical tension and assertive social support-seeking), mindfulness, positive affect, and worry. Pre-pos…

Implementation of patient-reported outcome measures and patient-reported experience measures in melanoma clinical quality registries: a systematic review.

ObjectivesTo identify patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) in clinical quality registries, for people with cutaneous melanoma, to inform a new Australian Melanoma Clinical Outcomes Registry; and describe opportunities and challenges of routine PROM/PREM collection, especially in primary care.DesignSystematic review.Primary and secondary outcome measuresWhich PROMs and PREMs are used in clinical quality registries for people with cutaneous melanoma, how they are collected, frequency of collection, participant recruitment methods and funding

Measuring quality of life in people living with and beyond cancer in the UK.

PurposeThe aim of this study was to identify the most appropriate measure of quality of life (QoL) for patients living with and beyond cancer.MethodsOne hundred eighty-two people attending cancer clinics in Central London at various stages post-treatment, completed a series of QoL measures: FACT-G, EORTC QLQ-C30 , IOCv2 (positive and negative subscales) and WEMWBS, a wellbeing measure. These measures were chosen as the commonest measures used in previous research. Correlation tests were used to assess the association between scales. Participants were also asked about pertinence and ease of com

The effect of a single session of 30-min mindful breathing in reducing fatigue among patients with haematological cancer - a randomised controlled trial.

BACKGROUND: Patients with haematological cancer had considerable symptom burden, in which fatigue was the most prevalent. Almost 70% of haematological cancer patients reported fatigue. METHODS: We conducted a parallel-group, non-blinded, randomised control trial at the haemato-oncology unit of University Malaya Medical Centre, from 1st October 2019 to 31st May 2020. Patients included were ≥ 18 years, had histopathological diagnosis of haematological cancer, and fatigue score of ≥4 based on the fatigue subscale of Edmonton Symptom Assessment System (ESAS). Patients allocated to the interventio

Impact of physical exercise in cancer survivors during and after antineoplastic treatments.

Cancer patients experience symptoms and adverse effects of treatments that may last even after the end of treatments. Exercise is a safe, non-pharmacological and cost-effective therapy that can provide several health benefits in cancer patient and survivors, reducing cancer symptoms and cancer treatment side effects. The purpose of this review is to describe how the physical exercise is capable to reduce cancer symptoms and cancer treatment side effects. We realized a pragmatic classification of symptoms, dividing them into physical, psychological and psycho-physical aspects. For each symptom

The impact of chemotherapy-induced inner ear damage on quality of life in cancer survivors: a qualitative study.

PurposeThis study aimed to explore the burden of inner ear damage (ototoxicity) on adults living with and beyond cancer treated with chemotherapy and the impact on their quality of life (QoL). Furthermore, this study aimed to explore patient awareness surrounding chemotherapy-induced inner ear damage, known as ototoxicity, and assess what support they had been offered.MethodsParticipants were adults who had undergone chemotherapy, recruited from cancer clinics, charities and social media. Using semi-structured interviews and fieldnotes, an inductive thematic analysis was used to develop key th

Navigating isolation- barriers and multidimensional support needs in symptom self-management for HSCT patients within laminar airflow rooms: a descriptive qualitative study.

BACKGROUND: Hematopoietic stem cell transplantation (HSCT) is a crucial therapy for hematological malignancies and other conditions. However … tidimensional support needs: need for proactive symptom management, timely and effective symptom response need, internal support and self-regulation, longing for family and friends’ support and companionship, peer support, and looking forward to an interactive information platform. CONCLUSIONS: This study has indicated that patients with HSCT in lamina …

Депрессивные и удручающие симптомы при первоначальной психиатрической экспертизе пациентов, вступающих в протоколы трансплантации ячеек гематопоэтического ствола: перекрестное исследование с использованием PHQ-9 и GAD-7.

Объективная депрессия и беспокойство широко распространены в ходе трансплантации стволовых клеток (ГХЦТ) и предсказывают более низкий уровень сопричастности и худшие результаты, однако их бремя при проведении первоначальной психиатрической экспертизы не было задокументировано у мексиканских пациентов. Подтвержденные краткие обзоры, такие, как " Здоровье пациентов " Questionnaire-9 (В тыс.PHQ-9) и Всеобщая тревога Disorder-7 (В тыс.GAD-7) может обнаружить эти симптомы на этом раннем, доступном окне до начала кондиционирования. Мы стремились описать частотность и остроту депрессивных и

Anxiety and Depression of the Patients with Hematological Malignancies during Hospitalization for Hematopoietic Stem Cell Transplantation.

ObjectiveThis study aimed to assess the anxiety and depression in patients undergoing hematopoietic stem cell transplantation (HSCT).MethodsEighty-seven adult patients with various hematologic diseases, who were scheduled to receive autologous or allogeneic HSCT, were enrolled. The M.D. Anderson Symptom Inventory and the Hospital Anxiety Depression Scale were applied prospectively at hospital admission (D-14), on the day of transplantation (D day), and at 7 (D7) and 14 days (D14) after transplantation.ResultsThe severity of both anxiety and depressive symptoms increased over time, with a peak

Lifestyle Intervention for Breast Cancer Women.

Breast cancer patients have various physical, psychological health risks, among which are the effects on general health. Lifestyle intervention involving nutrition education, physical activity, and stress management, and has been shown to be effective in improving the health of breast cancer patients. Therefore, it is necessary to develop and apply a lifestyle intervention program to promote health in breast cancer patients.

Posterior reversible encephalopathy syndrome (PRES) associated with ovarian cancer and voltage-gated potassium channel antibodies: A case report.

•We report a case of PRES in conjunction with high grade serous ovarian carcinoma•There is a documented association between chemotherapy agents and PRES•Paraneoplastic panel was positive for voltage-gated potassium channel antibodies•Paraneoplastic workup may be justified in cases with high suspicion of PRES.

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… She was admitted to the neurology service and diagnosed with PRES based on an MRI of the head which noted no masses, but multiple bilateral, symmetric areas of T2 and FLAIR signal abnormality involving the cerebellar hemispheres, pons, temporal, frontal and parieto-occipital lobes with predominant involvement … T2 hyperintense foci were also noted in the pons (not pictured). Findings were consistent with posterior reversible encephalopathy syndrome (PRES). Fig. 1 The gynecology oncology service was consulted due to a drop in hemoglobin and an enlarging pelvic mass. …

Navigating Hope and Illness Cognition in Advanced Ovarian Cancer Patients: A CSM-Based Phenomenological Study.

BACKGROUND: Advanced ovarian cancer patients face profound psychosocial challenges in maintaining hope amidst terminal illness and treatment uncertainty. Understanding mechanisms supporting adaptive hope could inform psychosocial interventions. METHODS: Phenomenological qualitative study of 16 women with advanced ovarian cancer receiving platinum-based and/or targeted therapies at a tertiary center in southern China. Semi-structured interviews conducted across 11-month observation period; thematic analysis guided by Leventhal's Common-Sense Model (CSM). RESULTS: Participants demonstrated a t

Experiences of Cancer-Related Cognitive Impairment Across Cancer Types: Qualitative Systematic Review.

BackgroundCancer-related cognitive impairment (CRCI) is frequently reported during cancer treatment, with 35% of patients experiencing cogni … closure; "emotional, behavioral, and psychological impacts" explores emotional and psychological responses; and "support systems" emphasizes the role of social and health care support. CRCI negatively affects QoL and functional ability, and there is lack of understanding and resources in place to manage its effects.ConclusionsThis qualitative systemati …

Minocycline ameliorates CNS autoimmunity through restraint of CD4+CD11bc+ cells.

Minocycline is a tetracycline antibiotic with profound anti-inflammatory activity directed primarily against microglial cells and macrophages. Activation of nuclear factor erythroid 2-related factor 2 (Nrf2) is considered as an important target of minocycline. This drug has been considered a promising therapeutic for multiple sclerosis, an autoimmune disorder of the central nervous system (CNS). Still, its effect on CNS autoimmunity is not entirely understood. The aim of this study was to investigate the potency of short-term minocycline administration in fully developed CNS inflammation. To t

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… CD4 + CD11bc + cells were increased in severe EAE in all examined structures but the pons ( Figure 4G ). In parallel, the increase of CD8 + CD11bc + cells was observed in cerebellum only ( Figure 4H ). … DA rats were immunized with SCH and followed till 24–28 d.p.i. at which time spinal cord and brains were extracted and pons (Pons), cerebellum (Crbl), hippocampus (Hipc), and cortex (Cort) isolated (A) . c.s. at the time of sacrifice (B) and cumulative c.s. (C) . …

Effects of web-based interventions on cancer caregivers’ burden and quality of life: A systematic review and meta-analysis

Abstract Objectives As cancer incidence and survival rates rise, caregivers responsible for providing diverse support face increased burden and reduced quality of life (QoL). Although research on web-based interventions for this group is expanding, the impact of these interventions on caregiver burden and QoL remains unclear. This study aims to investigate the effects of web-based interventions on the caregiver burden and QoL of caregivers of patients with cancer. Methods Searches were conducted in PubMed, Web of Science, Cochrane Library, CINAHL, Embase, and PsycINFO from database inception t…

Perceived social support and associations with health-related quality of life in young versus older adult patients with haematological malignancies.

BackgroundThis study compared the perceived social support of young and older adult cancer patients, examining possible influencing factors as well as associations with health-related quality of life.MethodsA total of 179 young patients (18-39 years) and 200 older adult patients (> 70 years) with haematological malignancies completed questionnaires on their perceived social support (ISSS-8, scales: Positive Support and Detrimental Interactions, range 0-16) and health-related quality of life (EORTC QLQ-C30). Tests for mean differences, correlations and regression analyses to determine associate