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Narrative Therapy: A Systematic Review of Efficacy and Effectiveness for Improving Biopsychosocial Outcomes in People With Cancer.

BackgroundNarrative therapy is a postmodern, culturally responsive approach to psychotherapy that may be well suited for people affected by cancer. However, evidence for its use is unclear with previous reviews focusing on qualitative outcomes, specific approaches, or specific outcomes.AimTo conduct a systematic review to determine the efficacy/effectiveness of narrative therapy for people with cancer, and the factors which influence biopsychosocial treatment outcomes.MethodsWe conducted comprehensive searches of Medline, PsycInfo, Embase, Web of Science and Google Scholar to identify relevant…

Work, daily activities and leisure after cancer.

ObjectiveDetermine if cancer survivors have lower participation in paid work, more limitations in daily activities or more limitations in leisure compared with those without cancer, stratified by age (working age ≤65 years; retirement age >65 years). Secondary objectives are identifying sociodemographic or clinical factors associated with work, daily activities or leisure and analysis of the relationship between work, daily activities and leisure.MethodsSecondary analyses, using logistic regression, were performed on three cohorts (lymphoma, prostate and thyroid cancer) from the Dutch Patient

Cancer related cognitive impairment: a downside of cancer treatment.

Cancer treatment is associated with long lasting cognitive impairment in cancer survivors. This cognitive impairment is often termed cancer related cognitive impairment (CRCI). Cancer survivors treated for tumors outside the central nervous system are increasingly diagnosed with CRCI. The development of strategies to mitigate the negative effects of cancer treatment on the brain are crucial. Although neuroimaging research has proposed several candidate mechanisms, the pathogenic underpinnings of CRCI remain uncertain. As such, preventative and treatment strategies have not been identified. To

Patient-reported outcome measures of the impact of cancer on patients' everyday lives: a systematic review.

PurposePatients with advanced disease are living longer and commonly used patient-reported outcome measures (PROMs) may miss relevant elemen … icles, 22 met all inclusion criteria, including 10 concerning financial distress, 3 on roles and responsibilities and 9 on multiple aspects of social well-being. Generally, studies were not of high quality; many lacked bias free participant selection, had confounding factors and had not accounted for all participants. High levels of financial distress …

Частота дрожания у людей с множественным склерозом: систематический обзор и метаанализ.

Множественный склероз (MS) представляет собой хроническое нейродегенеративное расстройство, вызывающее различные симптомы, включая тромбы, которые оказывают значительное воздействие на качество жизни и инвалидность людей с MS (PwMS). В предыдущих исследованиях сообщалось о широком диапазоне дрожь в PwMS, что потребовало проведения всеобъемлющего обзора надежных оценок. ЦЕЛИ: Цель настоящего обзора заключалась в уточнении частотности дрожжей среди PwMS. МЕТОД: В период до апреля в Пубмед/МЕДЛИНЕ, Эмбазе, Скопусе и Сети научных исследований проводились систематические обыски 27, 2024, для выявле

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… Postural tremor often results from lesions in the pathways of cerebellar projections to the thalamocortical tract or pons and appears after maintaining a specific position in patients [9] . 2: Resting tremor: Observed in the resting state, this type of tremor is often associated with lesions in the … Regardless, the presence of lesions in the brainstem, pons, diencephalon, and Guillain-Mollaret triangle (rubro-olivocerebello-rubral loop) can also rarely and independently of the cerebellum, cause severe tremors [26] , [34] . …

Sociodemographic and health factors associated with the risk of financial catastrophe when informal care for patients with haematological neoplasms is replaced by formal care.

BackgroundCancer is one of the diseases with the highest incidence and mortality in the world, and one that requires greater care (formal and informal). At present, the traditional informal caregiver is disappearing. The objective is to analyse the sociodemographic and health factors associated with the possible catastrophic financial effect on households of replacing informal care by formal care for patients with blood cancer, during the different stages of treatment in Spain.MethodsA total of 139 patients with haematological neoplasm who underwent stem cell transplantation completed a longit

Efficacy of expressive helping in adult hematologic cancer patients undergoing stem cell transplant: protocol for the Writing for Insight, Strength, and Ease (WISE) study's two-arm randomized controlled trial.

BackgroundDuring, shortly after, and sometimes for years after hematopoietic stem cell transplant, a large proportion of hematological cancer patients undergoing transplant report significant physical and psychological symptoms and reduced health-related quality of life. To address these survivorship problems, we developed a low-burden, brief psychological intervention called expressive helping that includes two theory- and evidence-based components designed to work together synergistically: emotionally expressive writing and peer support writing. Building on evidence from a prior randomized c

Unmet Supportive Care Needs of Patients with Hematological Malignancies: A Systematic Review.

Hematological malignancies require intensive and long-term treatment, which brings a significant burden on patients, leading to unmet supportive care needs. The purpose of this review was to investigate the unmet supportive care needs of patients with hematological malignancies during and after active treatment as well as the factors that affect them. A systematic bibliographic search was carried out in the PubMed database for English articles published between 2009 and 2020 according to the Preferred Reporting Items for Systematic Reviews guidelines and under the terms: "unmet needs", "suppor

Беспокойство и депрессия у пациентов, у которых недавно диагностировали лимфому и миэлому.

Несмотря на то, что лимфома и миэлома создают физическое и психологическое бремя, данные о тревожности и симптомах депрессии у затронутых пациентов ограничены. Мы провели обследование в июле 2021 и сентябрь 2022 для характеристики тревоги и депрессии в группе взрослых пациентов, внутри 6 месяцев лимфомы или миэломы диагноза. Клинически значимая тревога и симптомы депрессии были определены как десятки ≥8 о соответствующих подмасштабах шкалы больничных тревог и депрессии. Мы провели оценку социально-демографических факторов, связанных с симптомами тревоги/депрессии, и проанализировали взаимосвяз

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AbstractAlthough lymphoma and myeloma confer physical and psychological burden, data are limited regarding anxiety and depression symptoms i … symptoms and quality of life (QOL) in multivariable analyses. Our cohort included 200 patients (response rate, 74.9%), of whom 45.5% were female, and 55.5% were aged ≥60 years. Over half of the cohort (56.2%) had clinically significant anxiety and/or depression symptoms, with 52.0% (95% confidence interval [CI], 44.9-59.1) meeting the cutoff for anxie …

The psychosocial cost burden of cancer: A systematic literature review.

Background and objectivePsychosocial costs, or quality of life costs, account for psychological distress, pain, suffering and other negative experiences associated with cancer. They contribute to the overall economic burden of cancer that patients experience. But this category of costs remains poorly understood. This hinders opportunities to make the best cancer control policy decisions. This study explored the psychosocial cost burden associated with cancer, how studies measure psychosocial costs and the impact of this burden.MethodsA systematic literature review of academic and grey literatu

General population normative values for the EORTC QLQ-C30 by age, sex, and health condition for the French general population.

BackgroundGeneral population normative values for the widely used health-related quality of life (HRQoL) measure EORTC QLQ-C30 support the interpretation of trial results and HRQoL of patients in clinical practice. Here, we provide sex-, age- and health condition-specific normative values for the EORTC QLQ-C30 in the French general population.MethodsFrench general population data was collected in an international EORTC project. Online panels with quota samples were used to recruit sex and age groups. Number and type of comorbidities were assessed. Descriptive statistics were used to calculate

Effects of Expanded Hemodialysis with Medium Cut-Off Membranes on Maintenance Hemodialysis Patients: A Review.

Kidney failure is associated with high morbidity and mortality. Hemodialysis, the most prevalent modality of renal replacement therapy, uses the principle of semipermeable membranes to remove solutes and water in the plasma of patients with kidney failure. With the evolution of hemodialysis technology over the last half century, the clearance of small water-soluble molecules in such patients is adequate. However, middle molecules uremic toxins are still retained in the plasma and cause cardiovascular events, anemia, and malnutrition, which significantly contribute to poor quality of life and h

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… Maduell F., Moreso F., Pons M., Ramos R., Mora-Macià J., Carreras J., Soler J., Torres F., Campistol J.M., Martinez-Castelao A., et al. High-efficiency postdilution online hemodiafiltration reduces all-cause mortality in hemodialysis patients. J. Am. Soc. … Reque J., Pérez Alba A., Panizo N., Sánchez-Canel J.J., Pascual M.J., Pons Prades R. Is expanded hemodialysis an option to online hemodiafiltration for small- and middle-sized molecules clearance? Blood Purif. 2019;47:126–131. doi: 10.1159/000493910. 68. …

Health and economic impact of caregiving on informal caregivers of people with chronic diseases in sub-Saharan Africa: A systematic review.

With a disproportionate burden of chronic diseases and severe shortage of health workers in sub-Saharan Africa, the region implicitly relies … s for patients with cancer. Although the primary motivation for becoming caregivers was love and responsibility, the caring responsibilities described in twenty studies, had profound effects on the caregiver's lives. Healthwise, the informal caregivers experienced changes in their physical and mental health like developing musculoskeletal problems and …

Колокольчик коерулус на перекрестке воспаления и нейродегенерации в множестве склерозов.

Множественный склероз (MS) все чаще признается в качестве системного расстройства, включающего повреждения серой материи, разрыв сети и нейропсихиатрические симптомы наряду с демиелинацией. В этих рамках Colus coeruleus (LC), являющийся основным источником норадреналина (NA) в центральной нервной системе, появляется в качестве надежного центра регулирования в рамках распределенной моноаминергической сети. Основные элементы: С помощью ЛК формируется микроглиальная и астроцитическая реактивность, окислительный стресс, митохондриальная функция, дифференциация олигодендроцитов и устойчивость мозго

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… Reduced NAA/Cr ratios within the pons/LC region correlate with attentional deficits. Depressive and anxiety symptoms are associated with lesions involving the LC and raphe nuclei. … Reduced NAA/Cr ratios within the pons/LC region correlate with attentional deficits. …

Проблемы, связанные с диагностикой и лечением заболевания миелином Олигодендроцитом Гликпротеином противомоскитных заболеваний (МОГАД).

Myelin oligodendrocyte glycoprotein-сопутствующая антителу болезнь недавно была опознана как явное аутоиммунное расстройство центральной нервной системы. Существует значительная клиническая и радиологическая параллелизма с множественным склерозом и аквапорином-4-IgG-связанным с нейромиелитом расстройствами спектра. Клинический курс изменяется в том смысле, что пациенты могут иметь монофазный или повторный курс, острота заболеваний непредсказуема, и в отличие от других идиопатических аутоиммунных подстрекательских расстройств, не существует гендерных предрасположений и вероятность того, что они

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… Brainstem lesions are seen in nearly 20% of patients; they are often asymptomatic and are detected in the midbrain, pons, or medulla as T2-hyperintense lesions [ Figure 1 i and j]. “Fluffy” lesions may be typically seen in unilateral or bilateral middle cerebellar peduncles[ 17 ] [ Figure 1 g]. … Longitudinally extensive myelitis • Central cord lesion or H-sign • Conus lesion Brain, brainstem, or cerebral syndrome • Multiple ill-defined T2-hyperintense lesions in supratentorial and often infratentorial white matter • Deep gray matter involvement • Ill-defined T2 hyperintensity involving the pons …

Correlation between Quality of Life and Burden in Caregivers of Advanced Stage Cancer Patients on Best Supportive Care

OBJECTIVES: Patients with advanced cancer with incurable diseases are generally cared for by their families in India. There is a lack of data on the perceived caregiver burden, quality of life (QOL) of patients and caregivers in India, especially among cancer patients not on any oncologic management. MATERIAL AND METHODS: We conducted a cross-sectional study among 220 patients of advanced cancer on best supportive care and their respective 220 family caregivers. Our primary objective was to identify a correlation between caregiver burden and QOL. After taking informed consent from both patien

Health-related quality of life domains relevant to people in Europe undergoing cancer treatment: a systematic review of qualitative research.

PurposeTo identify and synthesize evidence from European qualitative studies on cancer-related quality of life outcomes, needs, experiences, preferences, and concerns of people undergoing cancer treatment in the last decade.MethodsSystematic review ( https://www.crd.york.ac.uk/PROSPERO , CRD42024575065) of European studies using qualitative methodology, assessing constructs related to HRQoL, and involving adults receiving cancer treatment. The search was performed in PubMed and Scopus from January 2013 to July 2024. Titles, abstracts, and full texts screening, data extraction and risk of bias

Систематический обзор потенциального ускорения нееврокогнитивного старения пожилых лиц, переживших рак.

По мере роста показателей выживаемости больше внимания стало уделяться возможным когнитивным сиквелам у пожилых больных раком, что можно объяснить ускоренным старением мозга. В этом обзоре мы представляем полный обзор исследований, посвященных нейроимации, нейрокогнитивным и нейродегенеративным расстройствам у пожилых выживших жертв рака (см.>65 лет), на основе three базы данных (Pubmed, Web of Science and Medline). Ninety-six В него были включены исследования. Были обнаружены данные о функциональных и структурных изменениях в мозге (фронтальные области, базальная ганглиа, серые и белые вещест

What are the attitudes of health professionals regarding patient reported outcome measures (PROMs) in oncology practice? A mixed-method synthesis of the qualitative evidence.

BackgroundThe adoption of Patient Reported Outcome Measures (PROMs) in cancer care has been widely advocated, but little is known about the evidence for the implementation of PROMs in practice. Qualitative research captures the perspectives of health professionals as end-users of PROMs and can be used to inform adoption efforts. This paper presents a systematic review and synthesis of qualitative research conducted to address the question: What are the attitudes of health professionals towards PROMs in oncology, including any barriers and facilitators to the adoption of PROMS, reported in qual

Strategies for promoting exercise adherence within a cancer exercise recovery program: a qualitative case study.

BACKGROUND: Physical activity (PA) plays an important role in physical health and well-being for cancer survivors. However, cancer survivors demonstrate low adherence to cancer PA guidelines. Research is needed to understand how to optimize delivery of cancer PA programs to enhance participation and adherence. In this study, we conducted an instrumental qualitative case study of a clinical cancer exercise recovery program (CERP) demonstrating high adherence (over 90% session completion), with the goal of understanding implementation strategies that patients link to higher program adherence. ME