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Bridging the gap: a pre-post feasibility study of embedding exercise therapy into a co-located cancer unit.

PurposeTo establish the feasibility of embedding a flexible, exercise-based rehabilitation program into a cancer treatment unit to allow cancer survivors early exercise support.MethodA pre-post study was conducted using Bowen's Framework to describe key domains of feasibility: demand (referrals), acceptability (uptake, attendance, satisfaction), implementation (resources), practicality (adverse events, costs) and limited-efficacy (function, quality of life, self-efficacy). Participants were medically stable, adult cancer survivors receiving curative or palliative treatment for cancer at the he

Patient-reported outcomes in patients with hematological relapse or progressive disease: a longitudinal observational study.

BackgroundPatients with hematological cancer who experience relapse or progressive disease often face yet another line of treatment and continued mortality risk that could increase their physical and emotional trauma and worsen their health-related quality of life. Healthcare professionals who use patient-reported outcomes to identify who will have specific sensitivities in particular health-related quality of life domains may be able to individualize and target treatment and supportive care, both features of precision medicine. Here, in a cohort of patients with relapsed or progressive hemato

Effect of physical exercise on cognitive function and brain measures after chemotherapy in patients with breast cancer (PAM study): protocol of a randomised controlled trial.

IntroductionAfter treatment with chemotherapy, many patients with breast cancer experience cognitive problems. While limited interventions are available to improve cognitive functioning, physical exercise showed positive effects in healthy older adults and people with mild cognitive impairment. The Physical Activity and Memory study aims to investigate the effect of physical exercise on cognitive functioning and brain measures in chemotherapy-exposed patients with breast cancer with cognitive problems.Methods and analyticsOne hundred and eighty patients with breast cancer with cognitive proble

Health-related quality of life in the ENDEAVOR study: carfilzomib-dexamethasone vs bortezomib-dexamethasone in relapsed/refractory multiple myeloma.

We examined effects of carfilzomib-dexamethasone (Kd56) versus bortezomib-dexamethasone (Vd) on health-related quality of life (HR-QoL) in relapsed/refractory multiple myeloma (MM) patients from the ENDEAVOR study. HR-QoL was assessed by the European Organisation for Research and Treatment of Cancer QoL Questionnaire (QLQ-C30), MM-specific module (QLQ-MY20), and Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity (FACT-GOG-Ntx) "Additional Concerns" neurotoxicity subscale. The QLQ-C30 Global Health Status (GHS)/QoL scale and seven prespecified subscales were compar

Internet-based guided self-help for glioma patients with depressive symptoms: a randomized controlled trial.

Depressive symptoms are common in glioma patients, and can negatively affect health-related quality of life (HRQOL). We performed a nation-wide randomized controlled trial to evaluate the effects of an online guided self-help intervention for depressive symptoms in adult glioma patients. Glioma patients with depressive symptoms were randomized to a 5-week online course based on problem-solving therapy, or a waiting list control group. After having received the intervention, the glioma patient groups combined were compared with patients with cancer outside the central nervous system (non-CNS ca

Воздействие N-ацетилцистистайна на PET-MRI у пациентов с множественным склерозом.

Цель этого исследования заключалась в изучении вопроса о том, привело ли управление N-ацетилцистином (NAC) у пациентов с множественным склерозом (MS) к изменению нейрофизиологической функции, определяемой сочетанием функциональных связей (FC) на основе восстановления зависимости от уровня кислорода крови (BOLD) fMRI и метаболизма церебральной глюкозы с использованием фтородоксиглюкозы позитронной эмиссии (FDG PET) и были ли эти изменения связаны с улучшением симптомов. МЕТОДЫ: Thirty-six Пациенты с мягким или умеренным склерозом были случайно выбраны либо в NAC плюс стандарт ухода, либо только

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… Kingwell, 2012 , Tahedl et al., 2018 , Rocca et al., 2022 ); 2) There is substantial evidence that FDG PET scans reveal abnormal brain metabolism in patients with MS including reductions in a number of cortical areas such as the prefrontal cortex, putamen, supplementary motor area, occipital regions, and pons …

Different attitudes towards estimating indirect costs of disease: The example of cancer.

GoalCost estimations in healthcare are crucial to make sound and adequate economic evaluations and assessments. The concept of indirect costs' estimation seems to be still not very well developed and systematized. This article is dedicated to the problem of indirect costs estimation of different types of cancer. The main aim of the article is to analyse the frequency of usage of different methods used for estimating indirect costs in economic analysis.MethodsThere are discussed various methods used for indirect costs' estimations. Among them, in details, there are described: human capital appr

The contribution of spirituality and religiousness to the quality of life of cancer patients treated with radiotherapy in Ghana: a cross-sectional study.

Cancer is one of the leading causes of morbidity and mortality globally. A significant proportion of all patients with cancer require radiotherapy as part of their treatment. Cancer can be very terrifying for patients undergoing radiotherapy, especially when it undermines their ability to hope or cope. In Ghana, where religious and spiritual beliefs play a significant role in many individuals' lives, understanding how these factors affect patients' well-being during cancer treatment is crucial. This study examined the contribution of spirituality and religiousness to the quality of life (QoL)

Prognostic value of CA15-3, CA125, CEA in breast cancer patients undergoing chemotherapy.

BackgroundTo explore the prognostic value of cancer antigen 15-3 (CA15-3), Carbohydrate antigen 125 (CA125), and carcino-embryonic antigen (CEA) in breast cancer patients undergoing chemotherapy.MethodsThe data of 100 patients with breast cancer who received chemotherapy in a hospital from May 2022 to May 2024 were selected. Patients were divided into control and test groups based on different intervention methods and hospital stays. The control group receives routine nursing interventions. The test group implements exercise intervention under planned behaviour planning, with 50 cases in each

Clinical practice guidelines on addressing cognitive impairment in treatable dementias.

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… Mo M, Zacarias-Pons L, Hoang MT, Mostafaei S, Jurado PG, Stark I, et al. Psychiatric disorders before and after dementia diagnosis. JAMA Netw Open. 2023;6:e2338080. doi: 10.1001/jamanetworkopen.2023.38080. 43. Grover 2025. …

Development of a Health-Related Quality of Life Tool for Adolescents and Young Adults With Cancer.

ImportanceA diagnosis of cancer during adolescence and young adulthood disrupts key developmental stages, affecting multiple domains of heal … tment within the past 12 months, or were receiving palliative care. Data analysis for the survey responses was performed from May to November 2024.Main outcomes and measuresThe primary study outcome was the development of an HRQOL questionnaire that assesses issues of importance and relevance to AYAs with cancer. A draft questionnaire was created and t …

Changes in quality of life throughout the illness trajectory of older adults with cancer: a systematic review.

BackgroundOlder adults with cancer often experience frailty and comorbidities, potentially impacting their quality of life. Knowledge on quality-of-life changes throughout the cancer trajectory is important to set feasible expectations in interventions or trials.AimThis systematic review synthesizes existing knowledge on quality-of-life changes in older adults with cancer throughout their illness trajectory and explores potential individual, relational, community, and societal factors associated with these changes.MethodWe systematically searched PubMed, Embase, and PsycINFO. We synthesized ch

Сравнительное исследование между когнитивными фенотипами мальгического энцефаломелита/хронического синдрома утомления и множественным склерозом.

Цель: Когнитивные дефекты являются одним из наиболее распространенных и недействующих симптомов, связанных с синдромом миальгической энцефаломиелита/хронической усталости (ME/CFS). Здесь мы рассматриваем возможность конкретного когнитивного профиля, присущего ME/CFS. Из-за когнитивных недостатков, усталости и боли в обеих патологиях многократный склероз (MS) является соответствующей моделью сопоставления. С этой целью мы провели сравнительное исследование между когнитивными профилями пациентов, имеющих ME/CFS, и пациентов, страдающих MS. Методы: В общей сложности были охвачены 40 пациентов МП/

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… This approach demonstrated a correlation between cognitive impairment in patients with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and positron emission tomography (PET) signals, particularly in the region between the mid-pons and thalamus [ 82 ], which support the hypothesis of neuroinflammation …

Implementation of Virtual Integrative Oncology Shared Medical Appointment Series (VIOSMAS) Within Mixed Diagnosis Population.

BackgroundIntegrative oncology [IO] is sought-after by patients, endorsed by clinical guidelines, and valued within National Cancer Institute Centers. Shared Medical Appointments [SMA] leverage health education and social connection to deliver enhanced patient experience, population health, cost-reduction, and clinician well-being. Integrative Oncology Shared Medical Appointments increase access to integrative medicine but delivering these services via telehealth have not been evaluated.ObjectiveWe created, and pilot tested a Virtual Integrative Oncology Shared Medical Appointment Series (VIOS

Характеристики и клинический курс пациентов с мелоидозом и раком.

У пациентов с активным раком больше шансов на развитие мелиоидоза, однако характеристики и клинический курс мелиоидоз у больных с раком не были подробно изучены. Профилактика триметоприма/сульфаметоксазола (TMP-SMX) предписывается для предотвращения мелоидоза у пациентов, получающих в некоторых юрисдикциях иммунную антираковую терапию, и рекомендуется в национальных австралийских руководящих принципах, хотя риски и выгоды этой стратегии определены не полностью. МЕТОДЫ: Исследование проводилось в Дальнем Северном Квинсленде (ФНК) в тропической Австралии. Характеристики и клинический курс пациен

Boosting and broadening recruitment to UK cancer trials: towards a blueprint for action.

Recruitment and retention in cancer trials are long-standing issues, exacerbated by the COVID-19 pandemic. The UK National Institute of Health Research and leading clinicians have emphasised the urgency to achieve and surpass prepandemic levels of participation. Data from a recent UK trial demonstrated the impact of COVID-19 and highlighted factors that limited recruitment. In response to this worldwide problem, studies have identified strategies for remediation at the levels of funding, the research environment, study design and trial team-related aspects, yet evidence of progress is lacking.…

Protocol of the optimal study: Optimization of polypharmacy in geriatric oncology - A randomized controlled trial.

BackgroundPolypharmacy is very common in older cancer patients and these patients are particularly vulnerable to drug-drug interactions and adverse drug reactions because they often receive chemotherapy and symptom-relieving agents.MethodsThe primary aim of the randomized, controlled Optimization of Polypharmacy in Geriatric Oncology (OPTIMAL) trial is to test whether an advisory letter with the results of a comprehensive medication review conducted with the Fit fOR The Aged (FORTA) list to the caring physician in rehabilitation clinics improves the quality of life (QoL) of older cancer patien

Integrated Network Pharmacology Approach for Drug Combination Discovery: A Multi-Cancer Case Study.

Despite remarkable efforts of computational and predictive pharmacology to improve therapeutic strategies for complex diseases, only in a few cases have the predictions been eventually employed in the clinics. One of the reasons behind this drawback is that current predictive approaches are based only on the integration of molecular perturbation of a certain disease with drug sensitivity signatures, neglecting intrinsic properties of the drugs. Here we integrate mechanistic and chemocentric approaches to drug repositioning by developing an innovative network pharmacology strategy. We developed

A Comprehensive Analysis of the Cancer Chronic Pain Experience: A Narrative Review.

Cancer-related chronic pain (CP) represents a critical clinical issue through the disease, severely compromising the quality of life (QoL) of patients and the family environment. The current review employed a narrative method to synthesize the main results about the impact of cancer-related CP on QoL, adopting a multidimensional and threefold vision: patients, caregivers, and patient-caregiver perspective. Evidence emphasizes the importance of considering a bidirectional perspective (patient-caregiver) to understand better the pain experience throughout the cancer continuum and its consequence

Long-term patient-reported neurocognitive outcomes in adult survivors of hematopoietic cell transplant.

Survivors of hematopoietic cell transplant (HCT) are at risk for neurocognitive impairments, which can negatively affect quality of life. Given limited studies, we aimed to describe the neurocognitive outcomes in a cohort of long-term adult HCT survivors. Eligible survivors (age ≥21 years at HCT and alive ≥2 years following HCT) completed a 60-question survey of neurocognitive function and quality of life, which included the Neuro-Quality of Life Cognitive Function Short Form (Neuro-QoL) and the Childhood Cancer Survivor Study Neurocognitive Questionnaire (NCQ). Analyses of risk factors includ