Результаты поиска

Анализ МРТ на основе АИ показывает атрофию мозга в доброкачественном релапсирующем многократном склерозе.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Существование и определение доброкачественного множественного склероза (МС) остаются противоречивыми, особенно с учетом расхождений между клиническим представлением и основополагающими изменениями в изображениях. В этом исследовании мы стремились изучить атрофию мозга, связанную с доброкачественными релапсирующими MS (BRRMS), особенно в том, что касается местоположения и масштабов. Мы проанализировали объемы глобальных и региональных серых веществ (GM) и белого вещества (WM), нагрузку на WM, индекс каллосум корпус (CCI) и площадь каллосум корпусов (CCA) в четко определен

Совпадение в полном тексте источника
… The WM lesions were segmented as previously described ( 21 , 22 ), and the lesion volume was reported globally and regionally for the following brain regions: periventricular, subcortical, deep white matter, pons and cerebellum ( Figure 1 ). … lesions, ml (mean; SD) Total 23.84 (18.71) 13.25 (6.47) −12.41 (−22.27;−2.54) 0.015 Periventricular 5.37 (5.75) 1.52 (1.45) −3.97 (−6.92;−1.01) 0.010 Juxtacortical 3.23 (3.87) 1.03 (1.14) −2.46 (−4.41;−0.51) 0.015 Deep white matter 12.69 (9.49) 7.88 (4.33) −5.97 (−11.36;−0.58) 0.031 Pons …

Increasing equitable access to telehealth oncology care in the COVID-19 National Emergency: Creation of a telehealth task force.

IntroductionTelehealth (TH) utilization in cancer care prior to COVID-19 was variable. Research highlights disparities in access determined by socioeconomic factors including education, income, race, and age. In response to COVID-19 and these disparities, we assessed the impact of a personalized digital support structure, the Telehealth Task Force (TTF), to reduce disparities in TH.MethodsWe performed a retrospective review of cohorts between January 1, 2020 and August 30, 2020: Pre (TH use with basic telephone support), Intervention (TH access with TTF), and Post (TH access after TTF initiati…

Survival protection of patients undergoing hematopoietic stem cell transplantation: grounded theory.

PurposeFor patients with blood malignancies, hematopoietic stem cell transplantation (HSCT) is a significant challenge. These patients have hope to be completely cured after the transplantation, but deal with the dread of dying at the same time. This study presents a deep understanding of the psychological process of the treatment including perception, emotion, interactions, and its consequences in patients undergoing HSCT.MethodsThis study utilized a qualitative method based on the Strauss and Corbin Approach toward the grounded theory. The research population comprised all patients undergoin

Cancer treatment-related financial toxicity in Japan: a scoping review.

Financial toxicity during cancer survival has been studied mainly in the United States; 47-49% of cancer survivors reported financial hardships and 12-63% reported debt owing to treatment costs. Financial toxicity is influenced by each country's economic status and healthcare system. We aimed to review the evidence on financial toxicity in Japan. A systematic search was performed using PubMed and Ichushi databases. We included English or Japanese peer-reviewed articles that (1) explored the experiences of cancer patients facing financial toxicity due to cancer diagnosis and treatment, (2) were

Psychometric Properties of Fears of Cancer Recurrence Scales in Turkish Hematologic Cancer Patients.

Background and Objectives: Fears of cancer recurrence (FCR) represents one of the most common psychological problems in cancer patients. Therefore, valid and reliable measurement tools are needed to assess FCR in this population. The purpose of this study was to examine the psychometric properties of FCR scales (Fears of Cancer Recurrence-7 Item Version [FCR-7]; FCR-4 Item Version [FCR-4]; FCR-6 Item Version [FCR-6]) in Turkish hematological cancer patients. Materials and Methods: The study sample consisted of 239 hematological cancer patients undergoing treatment at four different state hospi

Effect of exercise based interventions on sleep and circadian rhythm in cancer survivors-a systematic review and meta-analysis.

BackgroundDisrupted circadian rhythm commonly reported in cancer survivors is closely associated with cancer related fatigue, sleep disturbances and compromised quality of life. As more cancer survivors request non-pharmacological treatment strategies for the management of their chronic sleep-related symptoms, there is a need for meta-analyses of various interventions such as exercise on sleep and circadian rhythm disturbances.MethodsA search for RCT's was conducted in April 2020 and updated in July 2023 using relevant keywords for cancer, sleep, circadian rhythm and exercise interventions on

Neuropsychiatric Disorders and Frailty in Older Adults over the Spectrum of Cancer: A Narrative Review.

BackgroundThe interplay between different neuropsychiatric conditions, beyond dementia, in the presence of a diagnosis of cancer in older adults may mediate patients' fitness and cancer-related outcomes. Here, we aimed to investigate the presence of depression, sleep disturbances, anxiety, attitude, motivation, and support in older adults receiving a diagnosis of cancer and the dimension of frailty in order to understand the magnitude of the problem.MethodsThis review provides an update of the state of the art based on references from searches of PubMed between 2000 and June 2021.ResultsThe ev

Effects of different art therapies on the psychological well-being and quality of life in cancer survivors: a systematic review and network meta-analysis.

ObjectiveArt therapy has gained increasing attention as an adjunctive intervention for cancer patients. This study sought to conduct the first network meta-analysis (NMA) to evaluate the effects of various art therapies on the psychological well-being and quality of life in cancer survivors, rank various interventions by efficacy, and provide evidence-based guidance for clinical practice.MethodsWeb of Science, PubMed, Embase, and the Cochrane Library, were systematically searched for studies published up to September 3, 2025. Eligible studies were selected according to predefined criteria, and

Разработка Novel Digitals Eliction Measure for Clinical Use у пожилых людей с гематологическими злокачественными свойствами: Ценности-HM.

Введение. Недавнее расширение возможностей лечения пожилых людей, страдающих раком крови, повысило необходимость понимания предпочтений и ценностей пациентов для принятия решений о лечении. В настоящее время для клинического применения в этой группе населения не было подтверждено никаких мер по расчету значений. Величины-HM (показатель вымогательства для гематологовых злоумышленников) представляют собой новый показатель вымогательства, основанный на наилучших значениях масштаба. Он был разработан специально для пожилых людей, страдающих раком крови, с участием многих заинтересованных сторон, в

The Effects of Light Therapy on Cognitive Function and Stress in Women With Breast Cancer Before Systemic Treatment.

BackgroundCancer-related cognitive impairment (CRCI), for example, impairments in reaction time, processing speed, memory and executive function, may be associated with breast cancer (BC) surgery which can disrupt biological and psychological stress markers. Evidence suggests that light therapy may ameliorate cognitive impairment and stress. In this double-blind, randomized controlled trial, we investigated the efficacy of light therapy on mitigating the impact of BC surgery on CRCI in a national Icelandic cohort of women with BC.MethodsParticipants were randomly allocated to receive circadian

Examining anxiety and depression in haematology cancer patients in ongoing treatment and under watchful waiting: A systematic review and meta-analysis.

IntroductionThe present review aimed to establish prevalence rates of anxiety and depression in adults with haematology cancer, with a focus on the differences between patients under treatment and patients under watchful waiting.MethodFive databases (Scopus, Medline, PsycINFO, EThOS, CINAHL) were searched throughout June 2021. Key search terms included haematology cancer, anxiety, depression, in treatment and watchful waiting. Study and sample characteristics, prevalence rates and mean self-reported scores of anxiety and depression data were extracted.ResultsA total of 18 eligible papers were

Symptoms, Symptom Profiles, and Healthcare Utilization in Patients with Hematologic Malignancies: A Retrospective Observational Cohort Study and Latent Class Analysis.

Symptom burden is known to be high in patients with hematologic malignancies and can adversely impact patients' quality of life. The aims of this retrospective observational cohort study were to explore symptoms in patients with hematologic malignancies, including during the last year of life, to explore symptom profiles in patients with hematologic malignancies, and to explore associations among symptoms/symptom profiles and demographic, clinical, and treatment-related variables. Symptom prevalence and severity and symptom profiles were explored in patients with hematologic malignancies who c

A Survey Study of Patient-Physician Communication and Treatment Decision-Making Preference at Treatment Initiation and After Disease Stabilization in Newly Diagnosed Multiple Myeloma.

INTRODUCTION: We present real-world evidence of patient-physician communication for patients with newly diagnosed multiple myeloma (NDMM) who have not received hematopoietic stem cell transplantation. METHODS: An observational survey study was conducted in Japan (September‒November 2024). Patients with NDMM completed a self-reported 34-item survey (online or paper-based), and hematologists treating patients with multiple myeloma completed a self-reported 18-item survey online. Communication status between patients and physicians and information on patients' treatment expectations, values, emo

Quality of life, psychological distress, and prognostic perceptions in caregivers of patients with multiple myeloma.

Although caregivers of patients with multiple myeloma (MM) play a critical role in supporting their loved ones throughout the illness course, studies examining caregiver quality of life (QOL), psychological distress, and prognostic awareness are lacking. We conducted a cross-sectional, multisite study of patients undergoing treatment with MM and their caregivers. Eligible caregivers were enrolled to 1 of 3 cohorts based on lines of therapy. Caregivers completed validated questionnaires to assess their QOL, psychological distress, and perceptions of prognosis. We enrolled 127 caregivers of pati

The Use of Extracorporeal Organ Support Therapies for Acute Kidney Injury in Cancer Patients.

Acute kidney injury (AKI) is a frequent and serious complication in patients with cancer, associated not only with increased morbidity and mortality, but also with the interruption or modification of anticancer therapy. In critically ill patients with cancer, AKI arises from a complex interplay of cancer-related, treatment-related, and patient-related factors, with many patients requiring renal replacement therapy (RRT) and admission to the intensive care unit (ICU). This narrative review summarizes the etiology of AKI in patients with cancer and discusses the role of extracorporeal organ supp

Совпадение в полном тексте источника
… Pons S. Letavernier E. Demonchy J. Fodil S. Nouacer M. Placier S. Frère P. Tumor Lysis Syndrome and AKI: Beyond Crystal Mechanisms J. Am. Soc. Nephrol. 2022 33 1154 1171 10.1681/asn.2021070997 35523579 PMC9161807 10. Siddall E. Khatri M. Radhakrishnan J. … Pons B. Boulet E. Boyer A. Chevrel G. Lerolle N. Carpentier D. Initiation Strategies for Renal-Replacement Therapy in the Intensive Care Unit N. Engl. J. Med. 2016 375 122 133 10.1056/nejmoa1603017 27181456 29. Silvestris N. Argentiero A. Cosmai L. Porta C. Gesualdo L. Brunori G. Brunetti O. …

Psychosocial Factors Affecting Wellbeing and Sources of Support of Young Adult Cancer Survivors: A Scoping Review.

Background/objectivesTo identify and analyze what is known about the psychosocial factors affecting the wellbeing and sources of support of young adult (YA) cancer survivors.MethodsThe search strategy included Neoplasms, young adults, psycho* or emotional well* or mental health. The OVID Medline and CINAHL databases were searched. Included were cancer survivors (YA) ages 18-39 at the time of the study. The studies included qualitative and quantitative designs, written in English, and published between January 2016 and October 2024. The results were recorded according to PRISMA-ScR guidelines.R

Cultural adaptation and validation of the Sinhala version of the spiritual needs assessment for patients (S-SNAP) questionnaire.

BackgroundSpiritual support for patients and caregivers of critically ill patients is associated with improved quality of life. This aspect, however, is not incorporated into the current care pathways in Sri Lanka. The Spiritual Needs Assessment for Patients (SNAP) questionnaire, comprised of 3 domains: psychosocial, spiritual and religious, gives a platform for clinicians to assess the spiritual needs of those patients. This study presents the results of validation of the Sinhala version of the SNAP (S-SNAP) questionnaire.MethodsThe SNAP was translated from English to Sinhala using the standa

Prevalence, classifications and factors associated with sexual dysfunction among adult cancer patients on chemotherapy at the Uganda Cancer Institute, Mbarara.

BACKGROUND: Sexual dysfunction is a social challenge that devastates many people, including cancer patients. However, among the numerous reported side effects of chemotherapy sexual dysfunction is the least studied and reported. The chemotherapeutics used among cancer patients are potential risk factors for the development of sexual dysfunction, and such an understanding of these risk factors can lead to numerous interventions to bypass their effects on sexual activity. OBJECTIVE: The goal of this study was to determine the prevalence, classification and factors associated with sexual dysfunc

Effects of dyadic-based physical activity intervention on cancer-related fatigue among cancer survivors: A scoping review.

ObjectiveCancer-related fatigue is one of the most common adverse reactions to cancer survivors, which has a significant impact on the daily life. As a traumatic event, cancer not only brings great physical and mental harm to patients, but also poses a threat to the physical and psychological health of caregivers. Current studies have shown that physical activity improves cancer-related fatigue in cancer survivors. And studies have suggested that dyadic interventions are more effective in improving patient outcomes and may also provide some benefits to caregivers. But the literature on the eff

Living with relapsed myeloma: Symptoms and self-care strategies.

Aims and objectivesTo explore which symptoms relapsed myeloma patients experience and what self-care strategies are used.MethodsThis was a qualitative study utilising focus group interviews (n = 4) with relapsed myeloma patients (n = 15) and carers (n = 9). The focus groups were analysed and guided by thematic analysis.ResultsThree major themes with subthemes were identified following analysis of the interview data: "difficult symptoms; "self-care" and "feeling vulnerable." These findings indicate the challenges relapsed myeloma patients experience with ongoing symptoms and highlight the impor