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Antibiotic lock therapy for the treatment of peripherally inserted central venous catheter-related bloodstream infection in patients with hematological malignancies: a single center retrospective study.

Catheter-related bloodstream infections represent one of the most prevalent complications in patients with peripherally inserted central venous catheters (PICCs). The application of antibiotic lock therapy (ALT), particularly in patients with hematological malignancies, has not been well documented. We aim to share our experience on ALT for these patients and to evaluate its effectiveness and safety. All cases of patients with hematological malignancies who had PICC from January 2018 to October 2024 were retrospectively reviewed. Microbiologic data of PICC-related bloodstream infections (PRBSI

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… Laporte-Amargos J, Sastre E, Bergas A, Pomares H, Paviglianiti A, Rodriguez-Arias M, Pallares N, Badia-Tejero AM, Pons-Oltra P, Carratalà J, Gudiol C (2023) Increasing Gram-negative catheter-related bloodstream infection in Cancer patients. Pathogens 12(2):228. 10.3390/pathogens12020228 36. …

Daratumumab combined with anti-CD20 therapy in pediatric and adult refractory idiopathic nephrotic syndrome: single-center experience.

BACKGROUND: Refractory idiopathic nephrotic syndrome (INS), in native kidneys or post-transplant, represents a major therapeutic challenge d … n between 2022 and 2025. Clinical and laboratory data were extracted from medical records. Renal response was defined as complete remission (CR) or partial remission (PR). RESULTS: The mean patient age was 20 ± 13 years (range: 8-40), with a male-to-female ratio of 3:1. Median follow-up after daratumumab administration was 5 months (range: 2-12). All …

Exploring social determinants of health on chemotherapy-induced peripheral neuropathy severity in ovarian cancer: An integrative review.

Ovarian cancer remains a significant public health concern for women despite advancements in cancer management. Despite comprising only 2.5 % of cancers in women, ovarian cancer ranks as the fifth leading cause of cancer-related deaths among women, with patients frequently receiving late diagnoses. Chemotherapy, a primary treatment, frequently causes chemotherapy-induced peripheral neuropathy (CIPN), affecting over 60 % of patients and leading to severe sensory, motor, and autonomic nerve impairments. This often necessitates dosage reduction or discontinuation of treatment, thereby increasing

A Systematic Review of Decision Aids in Hematologic Malignancies: What Are Currently Available and What Are We Missing?

BackgroundPatient decision aids (PDAs) are tools designed to facilitate decision-making. In this systematic review, we summarized existing studies on the development and evaluation of PDAs for patients with hematologic malignancies.Patients and methodsWe followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We searched for articles in PubMed, Embase, Web of Science, Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov. We included studies, abstracts, and clinical trial protocols available in English involving PDAs for patients ag

Patient Preferences for Treatment Outcomes in Oncology with a Focus on the Older Patient-A Systematic Review.

For physicians, it is important to know which treatment outcomes are prioritized overall by older patients with cancer, since this will help … free survival (56%), absence of severe or persistent treatment side effects (54%), and treatment response (50%). Absence of transient short-term side effects was prioritized in 16%. The studies were heterogeneous considering age, cancer type, and treatment settings. Overall, quality of life, overall survival, progression- and disease-free survival, and …

Understanding the symptom experience and self-management strategies of adult hematopoietic stem cell transplantation patients during hospitalization: findings from a qualitative longitudinal study.

PurposeThe aim of this study was to explore the symptom experience and self-management strategies of adult hematopoietic stem cell transplantation patients during hospitalization.MethodsThis was a qualitative descriptive study. A heterogeneous sample of 19 patients who underwent hematopoietic stem cell transplantation from May to October 2021 were enrolled in the study. Semi-structured interviews were conducted at four time points during hospitalization, providing a total of 64 interview datasets.ResultsFour themes and 11 subthemes reflecting the symptom experience and self-management strategi

What Can Patient Narratives Reveal to Us About the Experience of a Diagnosis of Myeloma? A Qualitative Scoping Review.

In recent years, there have been major advances in treatment options for myeloma and an improved prognosis as a result. There is a wealth of literature that explores the experience of specific treatments from a clinical perspective but there is comparatively little known about the reality of living with myeloma. This research aims to explore the experience of a myeloma diagnosis, to map out key patient experience literature, and examine common themes to support both medical practice and the planning of further research. Following a scoping review methodology, PubMed, StarPlus (the University o

Rehabilitation after Allogeneic Haematopoietic Stem Cell Transplantation: A Special Challenge.

The general population is getting older and suffer more haematological malignancies despite being physically fit. These malignancies are mainly only curable via an alloHCT, and they are now carried out more frequently. Patients benefit from intensive rehabilitation earlier and may need it repeatedly in cases of severe side effects (e.g., graft-versus-host disease). They can suffer many problems that other cancer patients do not experience, such as severe infections, continued immunosuppression, nutritional restrictions, acute or chronic GvHD, or organ impairments (e.g., lung, eyes). They may a

The work of managing multiple myeloma and its implications for treatment-related decision making: a qualitative study of patient and caregiver experiences.

BackgroundThe evolving nature of multiple myeloma (MM) therapies, including the introduction of novel oral agents, has produced a shift in the delivery of care from hospital to home. Within this context, patients and their caregivers are becoming increasingly engaged in the work of illness management, however the exact nature of this work as well as the ways in which this work informs treatment preferences and decisions within this population has not been explored. This qualitative study sought to develop an in-depth understanding of patient and caregiver experiences with different MM treatmen

Using the Computer-based Health Evaluation System (CHES) to Support Self-management of Symptoms and Functional Health: Evaluation of Hematological Patient Use of a Web-Based Patient Portal.

BACKGROUND: Patient portals offer the possibility to assess patient-reported outcome measures (PROMs) remotely, and first evidence has demonstrated their potential benefits. OBJECTIVE: In this study, we evaluated patient use of a web-based patient portal that provides patient information and allows online completion of PROMs. A particular focus was on patient motivation for (not) using the portal. The portal was developed to supplement routine monitoring at the Department of Internal Medicine V in Innsbruck. METHODS: We included patients with multiple myeloma and chronic lymphocytic leukemia

Psychometric validation of a Patient-Centred Quality of Cancer Care Questionnaire in Mexico.

ObjectivesTo develop and validate a Patient-Centred Quality of Cancer Care Questionnaire in Spanish (PCQCCQ-S) appropriate to the Mexican context.DesignPsychometric validation of a questionnaire.SettingTwo public oncology hospitals in Mexico City.Participants1809 patients with cancer aged ≥18 years.Source of informationCross-sectional survey.MethodsThe validation procedures comprised (1) content validity through a group of experts and patients; (2) item reduction and evaluation of the factor structure, through an exploratory factor analysis based on the polychoric correlation matrix; (3) inter

Chronic obstructive pulmonary disease with short-acting inhaled pharmacotherapy increases the risk of prostate cancer: A two-stage database approach.

BACKGROUND: Patients with chronic obstructive pulmonary disease (COPD) are at a higher risk of many types of cancer. However, specific investigation of the risk of prostate cancer and the influence of COPD pharmacotherapy in patients with COPD is lacking. This study investigated the risk and influence of COPD pharmacotherapy on risk of prostate cancer in patients with COPD. METHODS: This retrospective cohort study used data from Taiwan's Longitudinal Health Insurance Database 2005 (LHID2005). The study cohort comprised COPD patients who received treatment between 2004 and 2008, and who were i

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… Agusti AG, Noguera A, Sauleda J, Sala E, Pons J, Busquets X. Systemic effects of chronic obstructive pulmonary disease. The European respiratory journal. 2003;21(2):347–60. . 33. Platz EA, Giovannucci E. …

Not so Fast: Co-Requirements for Sonic Hedgehog Induced Brain Tumorigenesis.

The Sonic hedgehog (Shh) pathway plays an integral role in cellular proliferation during normal brain development and also drives growth in a variety of cancers including brain cancer. Clinical trials of Shh pathway inhibitors for brain tumors have yielded disappointing results, indicating a more nuanced role for Shh signaling. We postulate that Shh signaling does not work alone but requires co-activation of other signaling pathways for tumorigenesis and stem cell maintenance. This review will focus on the interplay between the Shh pathway and these pathways to promote tumor growth in brain tu

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… Rios I., Alvarez-Rodriguez R., Marti E., Pons S. Bmp2 antagonizes sonic hedgehog-mediated proliferation of cerebellar granule neurones through Smad5 signalling. Development. 2004;131:3159–3168. doi: 10.1242/dev.01188. 49. Zhao H., Ayrault O., Zindy F., Kim J.H., Roussel M.F. …

Лечение с помощью животных по психологическим и физическим результатам: метаанализ случайных контролируемых испытаний.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Взрослые люди подвергаются повышенному риску тревоги, стресса и депрессии; терапия с помощью животных (ААТ) может служить эффективным подходом к содействию психологическому благополучию. В этом исследовании мы сравнивали эффективность AAT в улучшении депрессии, тревоги, стресса, боли и походки среди взрослых, страдающих или не больных. Мы систематически искали six электронные базы данных (PubMed, CINAHL, Embase, Web of Science, Cochrane Bibrary и Scopus) и включают все исследования, опубликованные до августа 2024. Мы использовали всеобъемлющее программное обеспечение мет

Внутриядерное периферальное перевыражение Pituitary-Tumor-transforming Gene 1:: Иммуногистохимическая биомаркировка лимфатического узла в яичной семиноме.

Фон/цели: Опухоли яичных микробных клеток, особенно полунома, являются основной причиной рака у мужчин в возрасте 15-40 Годы. Решение о адъютантной терапии основывается на гистологических особенностях с неопределенной перспективной ценностью. Ген Pituitary-Tumor-Transforming Gene 1 (PTTG1), который кодирует секуриновый протеин, имеет решающее значение для разделения сестринских хроматидов. Наши предыдущие исследования in vitro показали, что ядерное выражение PTTG1 поощряет инвазивность, дедифференцацию и неолимфангиогенез в яичниковой полуноме. Методы: Мы провели гипотетическое ретроспективное

Качество жизни и симптомы тревоги и депрессии у пациентов с раком: выводы из тертиарной клиники.

Рак является одной из главных причин глобальной смертности и заболеваемости, на долю которой ежегодно приходится миллионы смертей. Цель этого исследования заключалась в оценке качества жизни (QoL), изучении демографических, клинических и психологических факторов, связанных с QoL, оценке распространенности беспокойства и депрессивных симптомов, а также в оценке связей между методами лечения и областями QoL среди пациентов с раком, получающих антираковую терапию в Лахоре, Пакистан. МАТЕРИАЛЫ И МЕТОДЫ 385 больные раком с помощью удобного отбора проб. Данные собирались с помощью вопросника "

:: Анализ тенденций в области выявления множественных склерозов и анализа терапевтических тенденций на основе графиков знаний: реальные данные, полученные с помощью two - крупные системы здравоохранения.

Площадь склероза (MS) эволюционировала со временем. Мы провели основанный на использовании графиков анализ тенденций, связанных с рецептурной терапией, направленной на модификацию конкретных заболеваний (ДМТ), с использованием продольных реальных клинических данных. Мы проанализировали связанные с реестром данные электронной медицинской записи (ЭЗ) two между крупными независимыми системами здравоохранения 2004 и 2022, включая как академическую, так и общинную практику. Мы разработали неконтролируемый фенотификационный алгоритм, который использует общедоступный график знаний и информативные эле

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… JAMA . 2021 ; 325 ( 8 ): 765 – 79 . doi: 10.1001/jama.2020.26858 33620411 12 Ageno A , Català N , Pons M . Acquisition of temporal patterns from electronic health records: an application to multimorbid patients . …

Protocol for the TMaC Study: A Patient-Blinded, Randomised, Sham-Controlled, Parallel-Group Study Evaluating Effects of Repetitive Transcranial Magnetic Stimulation on Chronic Chemotherapy-Induced Pain in Bowel Cancer Patients.

IntroductionChemotherapy-induced peripheral neuropathy (CIPN) is a common and debilitating consequence for people undergoing treatment for cancer, especially bowel cancer. Painful CIPN contributes to psychological distress, functional decline and reduced quality of life. Additionally, it is a dose-limiting factor for anticancer agents, compromising chemotherapy effectiveness and patient survival. To date, no effective long-term management options exist for painful CIPN. Whilst evidence suggests analgesic effects of repetitive transcranial magnetic stimulation (rTMS), little is known regarding

Trends in mortality from infection among patients with hematologic malignancies: differences according to hematologic malignancy subtype.

BackgroundInfection is the most important cause of non-relapse mortality in hematologic malignancy patients, leading to increased costs and prolonged hospitalization times. However, comprehensive and comparable reports on infection-specific mortality (ISM) trends in hematologic malignancy patients are lacking.ObjectivesWe aimed to provide updated ISM trends and factors associated with ISM among hematologic malignancy patients.DesignThis is a retrospective study.MethodsPatients diagnosed with the five most common hematologic malignancies from 1983 to 2016 from the Surveillance, Epidemiology, an

A biobehavioral intervention to enhance recovery following hematopoietic cell transplantation: Protocol for a feasibility and acceptability randomized control trial.

BackgroundInsomnia, fatigue, and depression are among the most persistent and distressing concerns for hematologic cancer patients recovering from hematopoietic cell transplantation (HCT). This study will evaluate a novel behavioral intervention, Restoring Sleep and Energy after Transplant (ReSET), designed to alleviate insomnia, fatigue, and depression by improving rest-activity patterns. Evidence-based behavioral strategies to improve nighttime sleep and increase non-sedentary daytime activity will be combined to optimize 24-h rest-activity patterns.MethodsThe protocol herein evaluates the f