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Rapid Fire

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Use of Software as a Medical Device to Improve Therapeutic Adherence in Patients With Hematological Malignancies: Prospective Interventional MargheRITA Study.

BackgroundHematological malignancies are a global health challenge, with a substantial number of deaths each year. Treatment adherence is crucial for improving patient outcomes in patients with hematological malignancies, but resource limitations and logistical challenges hinder optimal outpatient management. Digital health solutions such as the Remote Intelligence for Therapeutic Adherence (RITA) software as a medical device (SaMD) offer potential solutions by facilitating telemedicine visits and supporting patients in managing their treatment.ObjectiveThe aim of this study was to evaluate th

Diagnosis and treatment of cardiac amyloidosis: an interdisciplinary consensus statement.

The prevalence and significance of cardiac amyloidosis have been considerably underestimated in the past; however, the number of patients diagnosed with cardiac amyloidosis has increased significantly recently due to growing awareness of the disease, improved diagnostic capabilities and demographic trends. Specific therapies that improve patient prognosis have become available for certain types of cardiac amyloidosis. Thus, the earliest possible referral of patients with suspicion of cardiac amyloidosis to an experienced center is crucial to ensure rapid diagnosis, early initiation of treatmen

Modified oral cryotherapy is associated with lower oral mucositis pain in HSCT recipients: a retrospective study.

PurposeTo assess modified oral cryotherapy (OC) for pain management in hematopoietic stem cell transplant (HSCT) recipients with oral mucositis (OM).MethodsA retrospective study included 361 HSCT patients (2023-2025) stratified into Conventional Nursing Practice (CNP) group (n=170) and optimized nursing protocol (ONP) group (n=191). The ONP protocol replaced saline ice slurry with Kangfuxin solution ice slurry and incorporated adjunctive bilateral cheek cryotherapy using ice packs. Outcomes compared OM severity and pain levels (Verbal Rating Scale).ResultsBoth groups showed comparable overall

Emerging therapies for autosomal dominant polycystic kidney disease with a focus on cAMP signaling.

Autosomal dominant polycystic kidney disease (ADPKD), with an estimated genetic prevalence between 1:400 and 1:1,000 individuals, is the third most common cause of end stage kidney disease after diabetes mellitus and hypertension. Over the last 3 decades there has been great progress in understanding its pathogenesis. This allows the stratification of therapeutic targets into four levels, gene mutation and polycystin disruption, proximal mechanisms directly caused by disruption of polycystin function, downstream regulatory and signaling pathways, and non-specific pathophysiologic processes sha

7-day longitudinal proteomics of critically ill patients: a pilot study.

An adult's health, indicated by measurable parameters, is stable over time. With the exception of circadian rhythms, variability in these parameters typically does not exceed 20%. In this pilot study, we looked into the stability of proteome in intensive care unit (ICU) patients. This was a single-center, prospective, observational pilot study of blood plasma from adult ICU patients with statistically heterogeneous patterns of clinically observed parameters. Eight week-long batches from seven patients (one patient participated twice) were analyzed by means of bottom-up proteomics. The data wer

Idecabtagene vicleucel for relapsed and refractory multiple myeloma: post hoc 18-month follow-up of a phase 1 trial.

Idecabtagene vicleucel (ide-cel) is a B-cell-maturation antigen (BCMA)-directed chimeric antigen receptor T cell therapy. We performed a post hoc analysis of a single-arm phase 1 multicenter study in relapsed/refractory multiple myeloma (CRB-401) (n = 62; median follow-up, 18.1 months). The primary endpoint was safety outcomes, and secondary endpoints included overall response rate (ORR), complete response (CR) and very good partial response (VGPR). The study met its primary endpoint with low rates of grade 3/grade 4 cytokine release syndrome (6.5%) and neurotoxicity (1.6%). ORR was 75.8%; 64.

POSTER PRESENTATIONS

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DNA Methylation Cancer Biomarkers: Translation to the Clinic.

Carcinogenesis is accompanied by widespread DNA methylation changes within the cell. These changes are characterized by a globally hypomethylated genome with focal hypermethylation of numerous 5'-cytosine-phosphate-guanine-3' (CpG) islands, often spanning gene promoters and first exons. Many of these epigenetic changes occur early in tumorigenesis and are highly pervasive across a tumor type. This allows DNA methylation cancer biomarkers to be suitable for early detection and also to have utility across a range of areas relevant to cancer detection and treatment. Such tests are also simple in

Картирование мозжечного мозга в случае задержек с проведением: следующий шаг для личностных моделей мозга в многоразовом склерозе.

Множественный склероз (MS) — клинически неоднородное, многофакторное аутоиммунное расстройство, затрагивающее центральную нервную систему. Структурные повреждения миелинской оболочки, приводящие к замедлению скорости проведения, являются ключевым патофизиологическим механизмом. На самом деле, скорость проведения тесно связана с степенью миэлизации, при этом более толстые миелиновые оболочки связаны с более высокой скоростью проведения. Однако не известно, как интенсивность структурных повреждений миелина ведет к замедлению течения нервной системы. В этой работе мы используем крупномасштабные м

T-Cell Lymphoma With Sarcoid-Like Reaction and Secondary Myelofibrosis: A Unique Case Report and Literature Review.

INTRODUCTION: T-cell lymphomas are rare, comprising 10%-15% of non-Hodgkin lymphomas (NHLs). Their etiology remains unclear, and pathophysiology varies widely among subtypes. Sarcoid-like reactions (SLRs) have been reported in approximately 7.3% of NHLs, including T-cell lymphomas, and can closely resemble sarcoidosis clinically/histologically. This overlap complicates diagnosis, particularly when secondary myelofibrosis-a rare and poorly understood complication-arises. Myelofibrosis has also been observed in sarcoidosis, further blurring the distinction between these entities. Treatment for T

Impact of Skeletal Muscle Depletion on Patients with Myelodysplastic Syndrome Treated with Azacitidine.

BackgroundAzacitidine (AZA) is the standard treatment for patients with high-risk myelodysplastic syndromes (MDS). The impact of skeletal muscle depletion (SMD), which is associated with outcomes of hematological malignancies, on the clinical course of MDS patients treated with AZA was investigated.MethodsThis retrospective, observational study included 50 MDS patients treated with AZA. Muscle mass was evaluated using the skeletal muscle index (SMI), which is the area of muscle mass at the third lumbar vertebra on CT images divided by the square of the height.ResultsOf the enrolled patients, 3

Lenalidomide in multiple myeloma: an evidence-based review of its role in therapy.

INTRODUCTION: Multiple myeloma (MM) is a relatively common and incurable hematological malignancy. Currently, there is no single standard therapy, with choice of treatment dependent on individual patient factors. Lenalidomide is an immunomodulatory drug with potent antitumor, antiangiogenic, immunomodulatory, and proapoptotic activity in MM. AIMS: To evaluate the evidence for the use of lenalidomide in its current indication in relapsed or refractory MM, and additionally its investigational use for the treatment of newly diagnosed MM. EVIDENCE REVIEW: In patients with relapsed and refractory

The impact of lag time to cancer diagnosis and treatment on clinical outcomes prior to the COVID-19 pandemic: A scoping review of systematic reviews and meta-analyses.

BackgroundThe COVID-19 pandemic has disrupted cancer care, raising concerns regarding the impact of wait time, or 'lag time', on clinical outcomes. We aimed to contextualize pandemic-related lag times by mapping pre-pandemic evidence from systematic reviews and/or meta-analyses on the association between lag time to cancer diagnosis and treatment with mortality- and morbidity-related outcomes.MethodsWe systematically searched MEDLINE, EMBASE, Web of Science, and Cochrane Library of Systematic Reviews for reviews published prior to the pandemic (1 January 2010-31 December 2019). We extracted da

Магнитная резонация, изображающая осаждение внутриутробного жира в клубнеобразном склерозе

Клубничный склерозный комплекс (TSC) представляет собой редкий автосомный доминирующий нейрокутановый синдром. Фенотип сильно изменяется и может влиять на несколько систем органов, при этом симптомом заболевания является широко распространенная гамартома или аномальное развитие нормальных тканей. Хотя сердечные хабдомиомы являются наиболее распространенным сердечным проявлением ТСК, разрабатываемым довольно рано, даже в течение второго семестра беременности, они, как правило, спонтанно регрессируют в течение нескольких месяцев или лет. С другой стороны, наличие внутрикардиального осаждения жир

Искусственная интеллектуальная, объемная оценка метаболической активности костного мозга в [18F]DG PET/CT предсказывает выживание в множестве миеломы.

ЦЕЛЬ: Множественная миелома (ММ) является весьма разнородным заболеванием с широкими различиями в исходе пациента. [18F]FDG PET/CT может давать прогнозируемую информацию в MM, но это затрудняется вопросами стандартизации сканирования. Наша группа недавно продемонстрировала возможность автоматизированной объемной оценки метаболической активности костного мозга (БМ) на ПЕТ/КТ с использованием нового инструмента искусственного интеллекта (АИ). Таким образом, цель нынешнего исследования заключается в изучении вероятной роли расчета метаболизма всего тела у пациентов с недавно диагностированным MM

Fatal Type B Lactic Acidosis Associated With Metastatic Colorectal Cancer: A Case Report With Review of Literature, Pathogenesis, and Treatment.

Type B lactic acidosis associated with malignancy is a life-threatening complication and mostly seen in hematological malignancies but can also be seen in solid tumors. We report a rare case of a 64-year-old female diagnosed with metastatic adenocarcinoma of the colon with liver metastasis associated with severe type B lactic acidosis. We discuss pathophysiology, previously reported cases, and their outcomes. The most widely used therapies are bicarbonate infusion, thiamine supplementation, chemotherapy, and supportive care but is associated with poor outcomes, and no standard treatment recomm

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… Liver enzymes were also elevated with aspartate aminotransferase 222 IU/L (normal = 14-33 IU/L), alanine aminotransferase 58 IU/L (normal = 10-40 IU/L), total bilirubin 3.5 mg/dL (normal = 0.2-1.0 mg/dL), normal partial thromboplastin time, and normal international normalized ratio. …

Карта знаний транскраниальной магнитной стимуляции бессонницы: библиометрический и визуальный анализ.

Бессонница - это one :: наиболее распространенные нарушения сна, серьезно сказывающиеся на физическом и психическом здоровье человека, снижающие эффективность и бдительность работы и потенциально даже приводящие к несчастным случаям, усугубляющие тем самым экономическое бремя как отдельных лиц, так и общества. Первичное лечение бессонницы включает фармакологическую и нефармакологическую терапию. С учетом потенциальных побочных эффектов, связанных с фармакологической терапией, существует настоятельная необходимость в применении безопасных и эффективных нефармакологических мер. Такие технологии,

Добавление витамина D и его воздействие на частоту возврата и активность МРТ у взрослых с множественным склерозом: систематический обзор.

ВВЕДЕНИЕ: Литературные данные увязывают добавку витамина D с клиническими результатами множественных склерозов (MS), однако никакого систематического обзора не проводилось конкретно по вопросу о частоте рецидивов и активности МРТ. Таким образом, цель этого систематического обзора заключалась в оценке воздействия добавки витамина D на скорость рецидива и активность заболеваний магнитно-резонансной съемки (MRI) у взрослых с клиническим диагнозом MS. МЕТОДЫ: Этот систематический обзор был проведен в соответствии с руководящими принципами, касающимися предпочтений в отношении представления докладо

Endothelial activation and stress index associated with in-hospital mortality risk in patients with end-stage renal disease: a retrospective analysis based on the MIMIC database and machine learning model development.

BACKGROUND: End-stage renal disease (ESRD) is a severe chronic renal disorder with high mortality, requiring dialysis treatment or kidney transplantation. The endothelial activation and stress index (EASIX), reflecting inflammatory status and endothelial dysfunction, has demonstrated predictive value for outcomes in multiple diseases. However, its association with in-hospital mortality (IHM) risk in ESRD patients remains unclear, and machine learning prediction models remain unestablished. METHODS: Clinical data for ESRD patients were extracted from the MIMIC-IV (3.1) database. The outcome wa