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Staff perspectives on the feasibility of a clinical pathway for anxiety and depression in cancer care, and mid-implementation adaptations.

BackgroundClinical pathways (CPs) are intended to standardise and improve care but do not always produce positive outcomes, possibly because they were not adapted to suit the specific context in which they were enacted. This qualitative study aimed to explore staff perspectives of implementation of a CP for routine screening, assessment, referral and management of anxiety and depression (the ADAPT CP) for patients with cancer, focussing on perceived feasibility of the CP and negotiated adaptations made during the implementation phase.MethodsThe ADAPT CP was implemented in 12 urban and regional

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… Science and eHealth Group (RISe), The University of Sydney, Sydney, NSW, Australia. 19 Centre for Health Economics Research and Evaluation, University of Technology, Sydney, NSW, Australia. … Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4(1):1–5. doi: 10.1186/1748-5908-4-50. 33. Fradgley EA, Bultz BD, Kelly B, Loscalzo MJ, Grassi L, Brindha S. …

Антибиотическое управление в случае предполагаемой нейтральной лихорадки (испытание ASTERIC): мультицентр, тип 1 гибридный протокол проведения экспериментальных исследований по вопросам эффективности, ступенчатый, выборочный и контролируемый.

ВВЕДЕНИЕ: Нейтропеническая лихорадка (НФ) имеет общий коэффициент смертности: 3-18%. Международные руководящие принципы рекомендуют всем пациентам, имеющим NF, получать антибиотики сверхширокого спектра (UBSA) в пределах 1 час регистрации аварийного отделения (ЭД). Тем не менее, 70% пациентов, поступающих в больницу с подозрением в наличии NF (SNF), не могут получить доступ к абсолютному числу нейтрофильов (ANC) в пределах 1 час, не имеет NF и не требует UBSA. В скорой и госпитализированных пациентах, имеющих SNF, мы предполагаем, что протокол ASTERIC эффективно и безопасно сокращает использов

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… Evidence-based practices are slow to be implemented into routine care. 19 Implementation science supports translational medicine research to practice gaps. 20 , 23 It identifies barriers and facilitators to effective implementation and designs evolving strategies to achieve desired service, implementation … Implementation science is multifaceted and highly complex. The trial seeks to answer other service, implementation and client outcome questions. The main secondary objectives are to investigate other service components, implementation components and the client component of the ASTERIC trial. …

Companion Diagnostics in Clinical Therapy: Current Applications and Future Directions.

Companion diagnostics (CDx) plays a pivotal role in precision medicine by enabling personalized treatment plans based on individual biomarker profiles. This approach can enhance therapeutic efficacy in selected indications and may reduce healthcare expenditures. Particularly in oncology, precision targeted therapies targeting pathways such as EGFR, HER2, and programmed death-1/programmed death-ligand 1 have established robust models for biomarker-driven treatment. However, rapid advancements in diagnostic technologies, expanding application scopes, and increasingly complex mechanisms of biomar

Скринэтон 2.0:: Проведение совместного обследования с участием человека и АИ на основе данных о состоянии здоровья пациентов.

Систематические обзоры имеют важное значение для проведения исследований, основанных на фактических данных, однако традиционный процесс отбора требует много времени и его трудно масштабировать. Скрининг, проводимый исключительно для человека, может привести к непоследовательности, в то время как полностью автоматизированные подходы с использованием моделей Большого языка зачастую не имеют контекстуального суждения, необходимого для принятия сложных решений. Для решения этой проблемы мы внедряем методологию скрининга на основе толпы, которая сочетает человеческий опыт и адаптивное машинное обуч

The use of virtual nominal groups in healthcare research: An extended scoping review.

IntroductionThe Nominal Group Technique (NGT) is a consensus group method used to synthesize expert opinions. Given the global shift to virtual meetings, the extent to which researchers leveraged virtual platforms is unclear. This scoping review explores the use of the vNGT in healthcare research during the COVID-19 pandemic.MethodsFollowing the Arksey and O'Malley's framework, eight cross-disciplinary databases were searched (January 2020-July 2022). Research articles that reported all four vNGT stages (idea generation, round robin sharing, clarification, voting) were included. Media Synchron

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… Implementation Science 2022 ; 17 : 10 . doi: 10.1186/s13012-021-01171-7 35086538 PMC8793098 33 Lawson CA , Lam C , Jaarsma T , et al . Developing a core outcome set for patient-reported symptom monitoring to reduce hospital admissions for patients with heart failure . … Implementation Science Communications 2022 ; 3 : 1 – 13 . 35346390 10.1186/s43058-021-00236-4 PMC8959802 39 Singh JA . Disease modification in gout: a qualitative study of gout expert rheumatologists . …

Резюме, представленные на 32nd Ежегодная конференция Международного общества по изучению качества жизни.

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… Although terminology varied widely, the implementation constructs used by healthcare organizations mapped onto the implementation science frameworks of RE-AIM 3.0 and Proctor’s outcomes 2.0, including acceptability (patient and provider-level), adoption (provider-level), appropriateness (patient and …

Barriers to Treg therapy in Europe: From production to regulation.

There has been an increased interest in cell based therapies for a range of medical conditions in the last decade. This explosion in novel therapeutics research has led to the development of legislation specifically focused on cell and gene based therapies. In Europe, the European medicines agency (EMA) designates any medicines for human use which are based on genes, tissues, or cells as advanced therapy medicinal products or advanced therapy medicinal products (ATMPs). In this article we discuss the hurdles to widespread adoption of ATMPs in Europe, with a focus on regulatory T cells (Tregs).

ICIMH 2022 Abstracts

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Research in haematological cancers: What do patients in the Netherlands prioritise?

IntroductionThe experiential knowledge of patients can provide research communities with complementary perspectives on disease. The aim of this study was to identify and prioritise everyday problems and research needs of haematological cancer patients and people who have undergone a stem cell transplantation.MethodsA mixed-method participatory research approach (the Dialogue Model) was applied, including interviews (n = 19), four focus group discussions (n = 27), a questionnaire (n = 146) and a stakeholder dialogue meeting (n = 30) with patients in the Netherlands.ResultsPatients' physical dis

Mass spectrometry-based metabolomics in health and medical science: a systematic review.

Metabolomics is the study of the investigation of small molecules derived from cellular and organism metabolism, which reflects the outcomes of the complex network of biochemical reactions in living systems. As the most recent member of the omics family, there has been notable progress in metabolomics in the last decade, mainly driven by the improvement in mass spectrometry (MS). MS-based metabolomic strategies in modern health and medical science studies provide innovative tools for novel diagnostic and prognostic approaches, as well as an augmented role in drug development, nutrition science

Учет интересов общин при финансировании научных исследований: создание Национального общества по многоразовому склерозу при Научно-исследовательском комитете МЗ.

Учет мнений общин в научных исследованиях имеет важное значение для обеспечения того, чтобы результаты исследований отражали то, что имеет значение для этого сообщества. Вместе с тем процесс, в рамках которого отдельные лица из общин включаются в решения о финансировании научных субсидий, является различным и зачастую состоит только из представителя пациента в составе группы по обзору или консультативного совета, в состав которого в основном входят научные эксперты в этой области. Все более активно обсуждается вопрос о том, как найти правильный баланс в плане учета и уважения технического опыт

Poster Abstracts

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Rising to the challenge: designing, implementing and reporting exercise oncology trials in understudied populations.

Exercise can improve cancer-related fatigue, quality of life and physical fitness, but is understudied in less common cancers such as multiple myeloma. Studying less common cancers and the adoption of novel study designs and open-science practices would improve the generalisability, transparency, rigour, credibility and reproducibility of exercise oncology research.

Mobilization and Exercise Intervention for Patients With Multiple Myeloma: Clinical Practice Guidelines Endorsed by the Canadian Physiotherapy Association.

ObjectiveIndividuals with multiple myeloma (MM) often have reduced functional performance due to the cancer itself or as a direct side effect of cancer treatments. Physical therapy is a part of cancer rehabilitation; however, no guidelines are available to provide information and direction for physical therapists managing patients with MM. The goal of this guideline is to provide recommendations based on a systematic review and consensus process that physical therapists can use to manage patients with MM.MethodsA systematic review of the literature published until August 2018 was performed in

Electronic Patient-Reported Outcome-Driven Symptom Management by Oncology Pharmacists in a Majority-Minority Population: An Implementation Study.

PURPOSE: There is a lack of systematic solutions to manage supportive care issues in racial/ethnic minorities (REM) receiving treatment for cancer. We developed and implemented an electronic patient-reported outcome (ePRO)-driven symptom management tool led by oncology pharmacists in a majority-minority cancer center located in Southern California. This study was designed to evaluate the implementation outcomes of our multilevel intervention. METHODS: This was a prospective, pragmatic, implementation study conducted between July 2021 and June 2023. Newly diagnosed adult patients with cancer r

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… Descriptive statistics were used to summarize implementation science outcomes: medians and IQR or mean and standard deviations (SD) for continuous variables, and counts and percentages for categorical variables. … Implementation Science Outcomes Defined Following the RE-AIM Framework Abbreviation: ePRO, electronic patient-reported outcome. …

Perspective: Does personalized medicine hold the future for medicine?

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The 4th Global Congress on Sickle Cell Disease Abstract Book 2022

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… KOSINSKI declares a conflict of interest: Stock shareholder: employee and stock holder of Agios Pharmaceuticals, Inc PI-06: THE NURSE CHAMPION MODEL FOR NEWBORN SCREENING FOR SICKLE CELL DISEASE IN SUB-SAHARAN AFRICA: AN IMPLEMENTATION SCIENCE PROTOCOL JAJA C. 1 , IBEMERE S. 2 , GIBSON R. 3 , EDEM-HOTAH …

PROMIS® Health Organization (PHO) 2021 Conference Abstracts.

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Scientific Advancements in Gene Therapies: Opportunities for Global Regulatory Convergence.

On 4 September 2024, the Reagan-Udall Foundation for the FDA (FDA Foundation) in collaboration with the Food and Drug Administration (FDA) and the Gates Foundation hosted a workshop titled "Scientific Advancements in Gene Therapies: Opportunities for Global Regulatory Convergence". The event brought together a diverse group of experts, including international regulatory bodies, regulated industries, healthcare professionals, patients, academic researchers and global health advocates, to discuss the rapid advancements in gene therapy and the pressing need for equitable access in low-and middle-

2022 International Cancer Education Conference Late-Breaking Abstracts

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