Результаты поиска

Chordoma combined with Trousseau syndrome: a case report and literature review.

BackgroundTrousseau syndrome (TS) refers to spontaneous, recurrent, and wandering arterial and venous thromboembolic events in patients with tumors. It results from abnormalities in coagulation and fibrinolytic mechanisms of varying degrees throughout the course of the disease. It has a high fatality rate, and it is commonly seen in patients with highly invasive tumors, such as lung, pancreatic, gastrointestinal, and breast cancers; however, to date, there has been no report of TS combined with chordoma.Case descriptionA 56-year-old male with a diagnosis of chordoma underwent surgery, immunoth

Финансовая токсичность для взрослых, переживших рак в Сингапуре: существует ли она?

ВВЕДЕНИЕ: Выжившие после рака могут испытывать финансовую токсичность (ФТ), обусловленную диагностикой, лечением и потенциальной потерей работы. Показатель распространенности ТТ в контексте модели здравоохранения Сингапура неизвестен. Мы расследуем вопрос о том, соответствуют ли более высокие фактические расходы (OOP) ФТ положительно и коррелирует ли более высокие расходы на ТТ с более низким качеством жизни (QoL). МЕТОДЫ: В рамках этого экспериментального исследования в больнице Национального университета в Сингапуре было проведено перекрестное обследование выживших жертв рака насопарингеля и

Optimizing Oral Targeted Anticancer Therapies Study for Patients With Solid Cancer: Protocol for a Randomized Controlled Medication Adherence Program Along With Systematic Collection and Modeling of Pharmacokinetic and Pharmacodynamic Data.

BackgroundThe strengthening or substitution of intravenous cytotoxic chemotherapy cycles by oral targeted anticancer therapies, such as protein kinase inhibitors (PKIs), has provided impressive clinical benefits and autonomy as well as a better quality of life for patients with cancer. Despite these advances, adverse event management at home and medication adherence remain challenging. In addition, PKI plasma concentrations vary significantly among patients with cancer receiving the same dosage, which could explain part of the observed variability in the therapeutic response.ObjectiveThe aim o

Клиническое описание и социально-демографическая характеристика лиц, страдающих киберсексуальной зависимостью, в рамках долгосрочных программ терапевтической поддержки.

ЦЕЛЬ: Киберсексуальная зависимость и гиперсексуальное поведение представляют собой растущие проблемы в области психического здоровья во всем мире. В ходе этого исследования были проанализированы социально-демографические и клинические характеристики когорты мужчин, проходящих курс лечения, а также была изучена взаимосвязь между продолжительностью терапевтической помощи и симптоматической строгостью. МЕТОД: В рамках программ терапевтической поддержки было проведено исследование по наблюдению, описательному и сквозному изучению с участием преимущественно мужской клинической группы (n = 27; 26 му

Melflufen and Dexamethasone in Heavily Pretreated Relapsed and Refractory Multiple Myeloma.

PurposeMelphalan flufenamide (melflufen) is a first-in-class peptide-drug conjugate that targets aminopeptidases and rapidly and selectively releases alkylating agents into tumor cells. The phase II HORIZON trial evaluated the efficacy of melflufen plus dexamethasone in relapsed and refractory multiple myeloma (RRMM), a population with an important unmet medical need.Patients and methodsPatients with RRMM refractory to pomalidomide and/or an anti-CD38 monoclonal antibody received melflufen 40 mg intravenously on day 1 of each 28-day cycle plus once weekly oral dexamethasone at a dose of 40 mg

"Window of Opportunity" in Ocular Graft-Versus-Host Disease Treatment: Results of a Longitudinal Study and Case Reports.

ObjectiveTo perform a longitudinal study for determining the development of ocular graft-versus-host disease (oGVHD) after allogeneic hematopoietic stem cell transplant (HSCT) and report cases that illustrate the "window of opportunity" concept in oGVHD treatment.MethodsPatients (n=61) were examined at prescheduled clinic visits before HSCT and three-month intervals after HSCT for 2 years. The presence or absence of oGVHD was determined using the international chronic oGVHD consensus group diagnostic criteria. Ocular surface washings (OSW) were obtained at each visit and analyzed for cytokine

Opportunities for Participation in Randomized Controlled Trials for Patients with Multiple Myeloma: Trial Access Depends on Restrictive Eligibility Criteria and Patient Expectations.

Randomized controlled trials (RCT) are the driver of therapeutic innovations. However, it has been frequently shown that less than 5% of adult cancer patients enroll in clinical trials, although 70% of patients are considered as being willing to participate. Barriers to trial participation have been extensively studied. Although there is evidence that trial participation correlates with improved survival and reduced mortality, the rate of participation has not changed substantially. We provide retrospective data from a single-center analysis of 411 patients with multiple myeloma (MM) who were

Willingness of advanced cancer patients to receive palliative care and its determinants: A cross-sectional study in Northern Tanzania.

BackgroundThe purpose of this study was to assess willingness of advanced cancer patients to receive palliative care and its determinants at Cancer Care Centre in Kilimanjaro Christian Medical Centre Northern Tanzania.ObjectiveThe purpose of this study was to assess willingness of advanced cancer patients to receive palliative care and its determinants at Cancer Care Centre in Kilimanjaro Christian Medical Centre Northern Tanzania.MethodsThis was an institution-based cross-sectional study and the target population was all advanced cancer patients attending care at Cancer care Centre in Norther

Lending a hand: supportive exercise therapy for cancer treatment-induced polyneuropathy of the upper extremity-VISCIPH A.

PURPOSE: Chemotherapy- and immunotherapy-induced peripheral neuropathies (PNP) are common and often dose-limiting side effects of cancer treatment. Patients often experience pain, numbness, and tingling in their extremities. Pharmacological options such as duloxetine, which is recommended for chemotherapy-induced PNP (CIPN), offer limited relief [1]. Consequently, neuromuscular training incorporating sensorimotor elements is a promising non-pharmacological alternative. However, its effect on symptoms in the upper extremities remains unexplored. This study investigates the feasibility of combin

Implementation of a model integrating primary and oncology pharmacists' care for patients taking oral anticancer agents (OAA).

Improvements in chronic myeloid leukemia (CML), chronic lymphocytic leukemia (CLL), and multiple myeloma (MM) treatment options have increased the 5-year survival rates for patients with these hematologic malignancies. In addition to cancer management, these patients may need help to manage multiple chronic conditions (MCC). The overall objective of this study is to examine the impact and implementation of a model that coordinates care between oncology and primary care pharmacists for people taking an oral anti-cancer agent (OAAs) and medications for comorbid chronic conditions. This is a mult

Effectiveness of a culturally adapted psychoeducational intervention for family caregivers of children with hematologic malignancy: a randomized controlled trial.

ObjectiveThis study aimed to develop and evaluate a culturally adapted psychoeducational intervention to address the severe psychological distress and caregiving burden commonly experienced by caregivers of newly diagnosed pediatric hematologic malignancy patients during the early stages of illness.MethodsAmong 116 randomized caregivers, 90 completed all three assessments and were included in the complete-case analysis. The intervention group received a 4-week psychoeducation program delivered by medical social workers, whereas the control group received routine care. Outcomes were assessed at

Разоблачение < < тишины > > угрозы: распространенность сердечно-сосудистых факторов риска среди пациентов, страдающих НР, в Бухаресте, Румыния.

Предыстория и цели: Данное исследование направлено на выявление факторов сердечно-сосудистого риска среди 91 - пациенты с множественным склерозом в Бухаресте, Румыния, с использованием данных медицинских карт и самостоятельного вопросника. Материалы и методы: Основное внимание в исследовании уделяется состоянию курения, индексу массы тела, сахару в крови, холестерину, тремглицеридам, кровяному давлению и почечной функции. Средний возраст пациентов составлял 42.90 ± 10.60 годы и 74.73% были женщинами. Средний показатель BMI составлял 23.89 кг/м2 ± 4.74 кг/м2 (менее, чем у населения в целом) с 4

Diagnostic and therapeutic challenges in rapidly progressing cardiac amyloidosis: a literature review based on case report.

INTRODUCTION: Cardiac amyloidosis is a rarely reported and potentially fatal variant of the systemic disease. Its early diagnosis could potentially lead to significantly improved clinical outcomes. CASE PRESENTATION: A 56-year-old female presented with dyspnea and palpitations. Her physical exam and non-invasive evaluation with cardiac magnetic resonance imaging (CMRI) revealed restrictive cardiomyopathy, and the bone marrow biopsy results showed systemic amyloidosis. DISCUSSION: The diagnosis of cardiac amyloidosis is not always straightforward, and delay can cause the progression of the di

Oral Mucositis Association with Periodontal Status: A Retrospective Analysis of 496 Patients Undergoing Hematopoietic Stem Cell Transplantation.

BackgroundHematopoietic stem cell transplantation (HSCT) can induce serious oral complications, including oral mucositis (OM). The presence of periodontal inflammation before HSCT is believed to be associated with OM. The aim of our study was to determine the prevalence and severity of OM in patients undergoing HSCT and its relation to periodontal status.Patients and methodsThis is a retrospective study of patients who underwent HSCT and a detailed dental examination between 2007 and 2015. The dental and periodontal status of all patients was evaluated by clinical and radiographic examination

Burden of haematological malignancies among children, adolescents and young adults: Global and high-income region insights from the GBD 2021 study.

This study provides a comprehensive assessment of haematological malignancies among children, adolescents and young adults aged 0-24 years, using data from the Global Burden of Disease 2021 across 204 countries from 1990 to 2021. We found that global incidence and prevalence remained relatively stable, with approximately 150 000 new cases and over one million prevalent cases in 2021, while mortality and disability-adjusted life year (DALY) rates declined markedly. Leukaemia was the leading contributor to incidence, deaths, and DALYs, although decreases were observed across most subtypes. Age-

Совпадение в полном тексте источника
… Legal involvement in pediatric cancer treatment refusal: a qualitative study . Pediatrics . 2024 ; 154 ( 5 ): e2024066180 . 39415696 10.1542/peds.2024-066180 31 Daltveit DS , Morgan E , Colombet M , Steliarova‐Foucher E , Bendahhou K , Marcos‐Gragera R , et al. …

Clinical, economic and organizational impact of pharmacist interventions on injectable antineoplastic prescriptions: a prospective observational study.

BackgroundPharmacists play a key role in ensuring the safe use of injectable antineoplastics, which are considered as high-alert medications. Pharmaceutical analysis of injectable antineoplastic prescriptions aims to detect and prevent drug related problems by proposing pharmacist interventions (PI). The impact of this activity for patients, healthcare facilities and other health professionals is not completely known. This study aimed at describing the clinical, economic, and organizational impacts of PIs performed by pharmacists in a chemotherapy preparation unit.MethodsA prospective 10-week

mHealth-Supported Exercise Rehabilitation to Reverse Frailty After Autologous Transplantation in Multiple Myeloma: Randomized Controlled Trial.

BACKGROUND: Frailty is highly prevalent in survivors of multiple myeloma (MM) after autologous hematopoietic cell transplantation and is associated with poor functional recovery and adverse clinical outcomes. Although exercise is known to improve physical function, traditional center-based rehabilitation models are often inaccessible to this population during early posttransplant recovery. Mobile health (mHealth)-supported exercise may offer a scalable alternative; however, evidence in hematologic malignancies remains limited. OBJECTIVE: This study aimed to evaluate the effects of a 16-week m

Evaluation of Subclinical Cancer Therapy-Related Cardiac Dysfunction in Patients Undergoing Hematopoietic Stem Cell Transplantation: An Echocardiography Study.

Background: Hematopoietic stem cell transplantation (HSCT) is a potentially curative procedure that is used in various hematological malignancies. However, among an increasing number of HSCT, the amount of cancer therapy-related cardiac dysfunction (CTRCD) is increasing as well. This study aimed to determine the prevalence of subclinical CTRCD in HSCT patients 12 months after HSCT and to assess the impact of clinical factors on the development of CTRCD. Material and Methods: We included 55 patients who underwent autologous or allogeneic HSCT. The patients were assessed using an echocardiograph

2021 ACMT Annual Scientific Meeting Abstracts-Virtual.

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Патогенная адаптация HLA Alleles и его корреляция с аутоиммунными заболеваниями на китайском языке.

Гены антигена лейкоцита человека (HLA) играют решающую роль в адаптации населения к динамичной патогенной среде. Несмотря на их важное значение, изучение патогенной эволюции ВПП и ее последствий для аутоиммунных заболеваний сопряжено с серьезными проблемами. Вот, мы генотипировали 20 Гены HLA 3-field разрешение 8278 лиц, принадлежащих к различным этническим группам, включая 4013 Не связанные с Ханом китайские личности. Мы сосредоточили внимание на адаптации ХЛА среди населения Китая, анализируя их связь с различными патогенами, и изучили потенциальную корреляцию между патогенной адаптацией и а