Результаты поиска

Functional brain connectivity correlates of pain relief during virtual reality exposure in cancer patients.

INTRODUCTION: Virtual reality (VR) has shown promise for pain relief, including in cancer-related contexts, yet its underlying neurophysiological correlates remain unclear. Understanding brain-based correlates is important for evaluating VR programs and informing personalized pain management. Functional connectivity reflects coordinated activity among pain-related brain regions. METHODS: This study examined associations between changes in functional connectivity and pain reduction during VR exposure using functional near-infrared spectroscopy (fNIRS) in cancer patients with chronic neuropathi

Analysis of reasons and risk factors for non-completion of radiotherapy courses in patients with tumors.

PurposeNon-completion of radiotherapy courses (NCRC) may happen in patients undergoing intensity-modulated radiotherapy (IMRT). Analyzing the reasons and risk factors for NCRC can lead to possible targeted measures to reduce the incidence rate. This six-year retrospective study will present a cohort analysis of NCRC from a single center.MethodsData from patients treated with IMRT between January 2018 and December 2023 were collected for analysis. The collected characteristics included age, gender, residential area, body mass index (BMI), tumor clinical stage, tumor type, tumor location, therap

Переход от педиатрической помощи к альтернативной склерозовой терапии для взрослых: проблемы, стратегии и терапия.

Множественный склероз (MS) — хроническое аутоиммунное состояние, вызывающее повреждение защитного покрытия нервов в центральной нервной системе. Педиатрический множественный склероз является редкой формой болезни, которая затрагивает 3-5% лиц с множественным склерозом. Множественный склероз (POMS) у педиатрии Onset (Podiatric Onset Multical Sclerosis) имеет весьма иной клинический профиль по сравнению с более распространенным множественным склерозом у взрослых. Помимо классических симптомов множественного склероза, дети, как правило, испытывают различные нетипичные симптомы, которые могут влия

Совпадение в полном тексте источника
… non-inflammatory conditions like metabolic disorders and leukodystrophies can resemble MS, further underscoring the need for an accurate and thorough diagnostic process. 29 Key MRI features of pediatric MS include ovoid, periventricular lesions in the juxtacortical white matter, corpus callosum, pons …

Factors Determining the Level of Acceptance of Illness and Satisfaction with Life in Patients with Cancer.

IntroductionCancer threatens life and brings about many negative emotions in patients, which influence their satisfaction with life and contribute to a low level of their acceptance of illness. This is why the acceptance of illness is a serious problem among patients with cancer; contributes to the intensification of symptoms; and influences the patient's physical, mental, emotional, social, and spiritual condition.AimThe purpose of this work is to assess the acceptance of illness and satisfaction with life in patients with cancer, as well as to identify social, demographical, and clinical fac

What Affects Treatment Underuse in Multiple Myeloma in the United States: A Qualitative Study.

BackgroundMultiple myeloma (MM) is the second most common hematologic malignancy. African Americans are more likely than Whites to be diagnosed with and die of MM, but they experience the same survival times in clinical trials, suggesting that differences in survival may be attributed to differences in receipt of treatment or differences in access to new treatments. We undertook this study to identify the reasons and needs underlying disparities in treatment among patients diagnosed with MM.MethodsWe conducted in-depth interviews in 2019-2020 with patients diagnosed with MM between 2010 and 20

Competing risk analysis of cardiovascular mortality in multiple myeloma survivors.

BackgroundThe survival of multiple myeloma (MM) patients has significantly improved, and several factors increase the risk of cardiovascular death (CVD) mortality in MM. This study aims to determine the prognostic significance of factors associated with long-term CVD risk in MM survivors.MethodsThe data of MM survivors whose survival time was longer than 36 months were retrieved from the Surveillance, Epidemiology, and End Result (SEER) database between 2000 and 2015. Cox proportional hazards regressions and competing risk survival analyses were utilized to assess the CVD-associated risk facto

Implementation of Physical Activity Programs for Rural Cancer Survivors: Challenges and Opportunities.

Physical activity after cancer diagnosis has been consistently associated with improvements in quality of life and prognosis. However, few cancer survivors meet physical activity recommendations, and adherence is even lower among those living in rural settings. The purpose of this quasi-experimental study was to evaluate the implementation of a clinic-based physical activity program for cancer survivors at a rural community oncology setting. We also examined changes in quality-of-life measures among 24 cancer survivors participating in the physical activity program and described challenges and

Patient-reported measures of well-being in older multiple myeloma patients: use of secondary data source.

BackgroundChanges in well-being of patients with multiple myeloma (MM) before and after diagnosis have not been quantified.AimsExplore the use of secondary data to examine the changes in the well-being of older patients with MM.MethodsWe used the Health and Retirement Study (HRS), linked to Medicare claims to identify older MM patients. We compared patient-reported measures (PRM), including physical impairment, sensory impairment, and patient experience (significant pain, self-rated health, depression) in the interviews before and after MM diagnosis using McNemar's test. We propensity-matched

Symptom Management Guideline Implementation Among Nurses in Cancer-Specific Outpatient Settings: A Scoping Review of Barriers, Facilitators, and Implementation Strategies.

BackgroundOncology outpatients experience high levels of distressing cancer-related symptoms. Nurses can provide high-quality outpatient cancer symptom management following clinical practice guideline recommendations; however, these guidelines are inconsistently used in practice. Understanding contextual factors influencing implementation is necessary to develop tailored implementation strategies.ObjectivesTo identify and describe (1) barriers and facilitators influencing symptom management guideline adoption, implementation, and/or sustainability among nurses in cancer-specific outpatient set

The Extent of Engagement With Telehealth Approaches by Patients With Advanced Cancer: Systematic Review.

BackgroundTelehealth approaches are increasingly being used to support patients with advanced diseases, including cancer. Evidence suggests that telehealth is acceptable to most patients; however, the extent of and factors influencing patient engagement remain unclear.ObjectiveThe aim of this review is to characterize the extent of engagement with telehealth interventions in patients with advanced, incurable cancer reported in the international literature.MethodsThis systematic review was registered with PROSPERO (International Prospective Register of Systematic Reviews) and is reported in lin

Dermatologic conditions in women receiving systemic cancer therapy.

As advances in cancer therapies have improved cancer-related survival, novel therapeutics have also introduced a variety of dermatologic tox … xicities may even disrupt cancer therapy and can therefore affect overall survival and treatment response. In this article, we review the dermatologic adverse effects from traditional chemotherapy, targeted therapy, immune checkpoint inhibitors, and endocrine therapy that disproportionately affect women. The timely diagnosis and management of these der …

Реальное наблюдение в мире усталости в множестве склерозов, сравнивая эгоистическую когнитивную поведенческую терапию с психообразованием.

Усталость является распространенным симптомом у людей с множественным склерозом (pwMS), имеющим серьезные последствия. Самоуправляемое, основанное на Интернете вмешательство в целях сокращения усталости в MS, основанное на когнитивной поведенческой терапии (CBT), было одобрено в качестве цифрового прикладного программного обеспечения в области здравоохранения (DIGA) в системе здравоохранения Германии. Однако реальных данных об эффективности не хватает. МЕТОДЫ: 165 - пациентов, прошедших проверку на усталость с использованием шкалы утомления моторных и когнитивных функций (FSMC), 129 у них диаг

Совпадение в полном тексте источника
… extensive research, the exact pathomechanism of MS-related fatigue remains unclear. 4 Pro-inflammatory cytokines may contribute via microglia activation and effects on the hypothalamus-pituitary axis. 5 Brain atrophy, especially in white and gray matter, 6 as well as structural changes in the caudate, pons …

Cross-Cultural Validation of the COmprehensive Score for Financial Toxicity (COST) Measure in an Australian Sample.

IntroductionThe COmprehensive Score for Financial Toxicity (COST) measure developed in the United States measures the financial impact resulting from cancer and its treatment. This paper reports on an Australian cross-cultural validation of the COST measure.MethodsParticipant eligibility criteria included individuals aged ≥ 18, undergoing or completed primary treatment for cancer. Immediate family members of patients were also eligible for Phase 1. Face and content validity were assessed through concurrent interviews and a brief survey (Phase 1). The subsequent revised version of COST was fiel

Telehealth and Health Care Contact Days Among Patients With Advanced Cancer After COVID-19.

ImportanceThe COVID-19 pandemic led to widespread telemedicine adoption, but its impact on time toxicity, ie, the time burden of interacting with the health care system, among patients with advanced cancer remains unclear.ObjectiveTo evaluate the association of the COVID-19 pandemic with time toxicity for patients with advanced cancer who died within 1 year of diagnosis, focusing on changes in health care use, including telehealth.Design, setting, and participantsThis retrospective cohort study included patients with stage 4 cancer who died within 1 year of diagnosis, with follow-up limited to

Neutropenic sepsis and septic shock in ICU patients: A single-center experience over the last decade.

PURPOSE: Sepsis and septic shock in patients with neutropenia are associated with high mortality. We investigated the features and outcome predictors of neutropenic sepsis in the last decade. METHODS: Consecutive patients who were admitted to the intensive care unit (ICU) of a French university-affiliated hospital in 2012-2022, met criteria for sepsis or septic shock, and had neutropenia were included retrospectively. Patient features were collected and compared for 2012-2017 and 2018-2022. Factors associated with hospital mortality were sought by univariate and multivariate analyses. RESULT

Совпадение в полном тексте источника
… Lemiale V, Pons S, Mirouse A, Tudesq J-J, Hourmant Y, Mokart D, et al. Sepsis and Septic Shock in Patients With Malignancies: A Groupe de Recherche Respiratoire en Réanimation Onco-Hématologique Study*. Cri Care Med. 2020;48(6):822–9. doi: 10.1097/ccm.0000000000004322 7. …

Краткосрочное и долгосрочное облегчение боли с помощью радиочастотной ризотомии у пациентов с множественным склерозом с тригеминальной невралгией: систематический обзор.

У пациентов с множественным склерозом (MS) тригеминальная нейронгия (TN) является изнурительным заболеванием, которое часто не дает медицинской помощи. Радиочастотная ризотомия (RFR) является широко распространенным вмешательством, однако ее результаты в этой конкретной группе населения требуют всеобъемлющего синтеза. Цель этого систематического обзора заключается в оценке краткосрочных и долгосрочных мер по облегчению боли, коэффициентов рецидива и характеристик безопасности RFR у пациентов, имеющих связанные с MS TN (MS-TN). Систематический поиск PubMed, Scopus, Web of Science и Embase был п

Совпадение в полном тексте источника
… Among patients with MS, demyelination within the trigeminal root entry zone or pons is considered the primary pathological mechanism contributing to TN. …

IMPROVE-BMT: A Pilot Randomized Controlled Trial of Prehabilitation Exercise for Adult Hematopoietic Stem Cell Transplant Recipients.

Background: There is limited evidence on the effects of aerobic and resistance training exercise interventions to improve physical function and patient-reported outcomes prior to autologous and allogeneic hematopoietic stem cell transplant (HSCT). IMPROVE-BMT was a single-site, pilot randomized controlled trial investigating the feasibility, acceptability, and safety of a pragmatic resistance training exercise program prior to HSCT compared to usual HSCT care. Secondary aims included differences in physical function between the exercise group (EX) and usual care control group (UC). Methods: Ou

Yoga improves self-reported cognitive function among cancer survivors: results from the STAYFit trial.

IntroductionVarious physical activity-based interventions have been tested to determine their efficacy in improving cancer related cognitive decline (CRCD), however the role of mind-body practices such as yoga remains to be explored. In this manuscript we present preliminary effects of yoga vs. aerobic and stretching-toning modalities of exercise on CRCD among adult cancer survivors.MethodsParticipants (N = 78) were randomized to one of the three exercise groups for a duration of 12-weeks and engaged in ≥150 min per week of supervised group exercises. At baseline and following the 12-week inte

Взгляд румынских пациентов на непрерывную терапию миеломы.

UNLABELLED: В последние годы изменилась парадигма лечения множественной миэломы (ММ), поскольку непрерывная терапия становится стандартом ухода за вновь диагностированными и рецидивированными пациентами. Хотя не вызывает сомнений тот факт, что непрерывная терапия принесла большую пользу как без прогрессирования, так и с точки зрения общего выживания, до сих пор не ясно, какова точка зрения пациентов на этот терапевтический подход. МЕТОДЫ: Это исследование включало в себя 155 Взрослые пациенты ММ из Клинического института Фундэни в Румынии получают непрерывную терапию с помощью дратумумаба, про

Family caregiver roles and challenges in assisting patients with cancer treatment decision-making: Analysis of data from a national survey.

BackgroundWe aimed to describe the roles and challenges of family caregivers involved in patients' cancer treatment decision-making.MethodsFamily caregiver-reported data were analyzed from a national survey conducted in the United States by CancerCare® (2/2021-7/2021). Four select-all-that-apply caregiver roles were explored: (1) observer (patient as primary decision-maker); (2) primary decision-maker; (3) shared decision-maker with patient and (4) decision delegated to healthcare team. Roles were compared across five treatment decisions: where to get treatment, the treatment plan, second opin