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Машинное обучение для прогнозирования заболеваний с высоким коэффициентом риска у пациентов с раком.

ЦЕЛЬ: Инфекционные осложнения у больных раком способствуют госпитализации, нарушению лечения и смертности. Цель этого исследования заключалась в разработке моделей машинного обучения (ML) для стратификации рисков, связанных с госпитализацией (ИРХ) больных раком. МЕТОДЫ: Взрослые пациенты, у которых диагностировали и лечили лимфому, множественную миелому (ММ), хроническую лимфоцитическую лейкемию (КЛЛ), цветную или лёгкую раку. 2013 в адрес 2023 В него были включены страны Северной Дании. Были использованы данные национальных реестров раковых заболеваний и данных о состоянии здоровья пациентов.

Глубокий секвенирование тяжелых цепных репертуаров в миальгическом энцефаломиелите/хроническом синдроме усталости.

Myalgic ensphalomyelit/хронический синдром усталости (ME/CFS) является распространенным и изнурительным хроническим заболеванием неизвестной аэтологии. Реагирование на хроническую инфекцию и аутоиммунную реакцию было предложено в качестве двух механизмов, которые потенциально лежат в основе патогенеза МЕ/КФС. Чтобы изучить эти гипотезы болезни, мы описали антигенные рецепторы клеток В с помощью адаптивной последовательности репертуарных репертуаров иммунного рецептора. Мы сравнили репертуары B-клектора (BCR) 25 пациентов с мягким/умеренным ME/CFS, 36 пациентов с тяжелым ME/CFS, 21 здоровый кон

Ozone Infiltration for Osteonecrosis of the Jaw Therapy: A Case Series.

Medication-related osteonecrosis of the jaw (MRONJ) is a serious adverse reaction, mainly due to bone-modifying agents (BMA), and it is a potentially painful and debilitating condition. To date, the literature has reported a 90% rate of successful outcomes for MRONJ patients undergoing surgical treatment. Particularly for patients with advanced disease stages who are unsuitable for surgery, prolonged medical treatment is required, with a consequent risk of the overuse of antibiotics and antibiotic resistance. The aim of this study is to evaluate the efficiency and safety of ozone, via oral muc

Opioid-Induced Constipation among a Convenience Sample of Patients with Cancer Pain.

BACKGROUND: Little is known regarding the burden of opioid-induced constipation (OIC) among patients who suffer from cancer-related pain. METHODS: A prospective longitudinal study was conducted among cancer patients in the United Kingdom (UK), Canada, and Germany, which included medical record data abstraction, Internet-based patient surveys, and physician surveys. Patients on daily opioid therapy (≥30 mg for ≥4 weeks) for treatment of cancer pain with self-reported OIC were recruited. Response to laxatives was defined by classifying participants into categories of laxative use and evaluating

Cardiometabolic health in people with HIV: expert consensus review.

ObjectivesTo develop consensus data statements and clinical recommendations to provide guidance for improving cardiometabolic health outcomes in people with HIV based on the knowledge and experience of an international panel of experts.MethodsA targeted literature review including 281 conference presentations, peer-reviewed articles, and background references on cardiometabolic health in adults with HIV published between January 2016 and April 2022 was conducted and used to develop draft consensus data statements. Using a modified Delphi method, an international panel of 16 experts convened in

Progression-free survival as a surrogate endpoint in myeloma clinical trials: an evolving paradigm.

Measurement of overall survival (OS) remains the gold standard for interpreting the impact of new therapies for multiple myeloma in phase 3 trials. However, as outcomes have improved, it is increasingly challenging to use OS as the primary endpoint if timely approval of novel agents is to be ensured to enable maximum benefit for patients. Surrogate endpoints of OS, such as progression-free survival (PFS) and response to treatment, have contributed to approval decisions by the Food and Drug Administration (FDA) and European Medicines Agency as endpoints demonstrating clinical benefit, and the F

Chest and Mediastinum

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Возможности и препятствия для глубокого изучения биологии и медицины.

Глубокое обучение описывает класс алгоритмов машинного обучения, которые способны объединять исходные ресурсы в слои промежуточных характеристик. Эти алгоритмы недавно продемонстрировали впечатляющие результаты в различных областях. Биология и медицина являются богатыми данными дисциплинами, однако данные являются сложными и зачастую недопонятными. Поэтому методы глубокого обучения могут быть особенно подходящими для решения проблем в этих областях. Мы изучаем возможности углубленного изучения различных биомедицинских проблем - стационарная классификация, фундаментальные биологические процессы

Best of JACC: Case Reports From ACC.23.

This dedicated issue of JACC: Case Reports highlights the top ranked Complex Clinical Cases from the ACC 2023 Scientific Sessions. These cases were reviewed and selected by a committee of peers in the months leading up to the annual meeting. These reviewers were ACC members with no affiliation to the JACC: Case Reports Editorial Board. While the cases were presented at the meeting and included in the formal Abstract Book from ACC, they have not been published elsewhere. These cases illustrate how the ACC can be a place for cardiovascular professionals to come together to learn, grow, and share

Inflammatory bone marrow microenvironment impairs the therapeutic effect of daratumumab-lenalidomide in multiple myeloma.

Daratumumab-lenalidomide (DR) combination therapy improves multiple myeloma (MM) outcomes, yet some patients respond poorly. We examined 21 DR pre-treatment samples from the IFM2017-03 phase 3 trial using single-cell and bulk multiomics approaches to identify determinants of response. Analysis of the bone marrow environment revealed a coordinated inflammatory state across immune and myeloma cells associated with DR resistance. We identified upregulated NF-κB signaling genes in monocytes of non-responders, alongside increased proinflammatory ISG + T cells and attenuated NK cell CD16 expression,

Design and Preclinical Validation of an Anti-B7-H3-Specific Radiotracer: A Non-Invasive Imaging Tool to Guide B7-H3-Targeted Therapies.

Background: B7-H3, an immunoregulatory protein of the B7 family, has been associated with both anti-cancer immunity and tumor promotion, with its expression commonly correlated with poor prognosis. Although it is frequently expressed across cancers, its heterogeneity may limit the effectiveness of B7-H3-targeted therapies. Consequently, a sensitive and non-invasive method is needed to assess B7-H3 expression for patient selection and stratification. Single-domain antibody fragments (sdAbs) offer a promising platform for developing such a diagnostic tool. Methods: To generate B7-H3 sdAbs, two I

A differential diagnostic model based on immunological evaluation and routine laboratory tests: distinguishing multiple myeloma from other disorders with aberrant immunoglobulin elevation.

ObjectiveDevelop a diagnostic model using common hematological and immunological indicators to assist in the early screening and differential diagnosis of Multiple Myeloma (MM) in clinical settings, reducing the risk of misdiagnosis.MethodsA retrospective analysis was conducted on 274 newly diagnosed and treated MM patients and 137 connective tissue disease patients treated at Zhejiang Provincial People's Hospital from January 2008 to August 2023. Laboratory indicators, including complete blood count, biochemistry, coagulation function, and immunoglobulin markers, were collected. The cohort wa

Pharmacovigilance in Cell and Gene Therapy: Evolving Challenges in Risk Management and Long-Term Follow-Up.

Cell and gene therapies, including CAR T-cells, CRISPR-based genome editing, and next-generation viral and non-viral delivery platforms, are transforming treatment paradigms across cancer, rare genetic disorders, immune dysregulation, and neurodegenerative disease. These therapies offer curative potential but also present safety challenges owing to prolonged biological activity, systemic immune engagement, and lasting genomic alterations. This review examines the range of related toxicities, including immune complications, genotoxicity, and organ-specific effects, with attention to atypical pr

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… AI models, from interpretable methods such as ElasticNet regression and decision trees to more advanced deep learning architectures such as Transformers and U-Net, are being trained on biomarkers relevant to CGTs, including IL-6, IFN-γ, ferritin, and vector integration profiles [ 178 ]. …

Therapeutic Potential of Autophagy Modulation in Cholangiocarcinoma.

Autophagy is a multistep catabolic process through which misfolded, aggregated or mutated proteins and damaged organelles are internalized in membrane vesicles called autophagosomes and ultimately fused to lysosomes for degradation of sequestered components. The multistep nature of the process offers multiple regulation points prone to be deregulated and cause different human diseases but also offers multiple targetable points for designing therapeutic strategies. Cancer cells have evolved to use autophagy as an adaptive mechanism to survive under extremely stressful conditions within the tumo

Прогнозирование аутоиммунных заболеваний на основе глубокого обучения.

Аутоиммунные заболевания представляют собой сложную группу заболеваний, вызванных иммунной системой, ошибочно наносящей удар по тканям тела. Их этиология включает в себя множество факторов, таких, как генетика, экологические факторы и аномалии в иммунных клетках, что затрудняет прогнозирование и лечение. Т клетки как один из ключевых компонентов иммунной системы играют важнейшую роль в иммунной системе человека и оказывают значительное воздействие на патогенез аутоиммунных заболеваний. Ряд исследований показали, что рецепторы Т-клеток (ТКР) могут быть вовлечены в патогенез различных аутоиммунн

Artificial Neural Networks Coupled with MALDI-TOF MS Serum Fingerprinting To Classify and Diagnose Pathological Pain Subtypes in Preclinical Models.

Pathological pain subtypes can be classified as either neuropathic pain, caused by a somatosensory nervous system lesion or disease, or nociplastic pain, which develops without evidence of somatosensory system damage. Since there is no gold standard for the diagnosis of pathological pain subtypes, the proper classification of individual patients is currently an unmet challenge for clinicians. While the determination of specific biomarkers for each condition by current biochemical techniques is a complex task, the use of multimolecular techniques, such as matrix-assisted laser desorption/ioniza

Нейрофизиологические, радиологические и молекулярные биомаркеры условий, связанных с болью: обзор " Umbrella " .

Справочная информация/цели: Боль и условия, связанные с болью, считаются глобальным медико-санитарным и финансовым бременем. В целях совершенствования методов обезболивания, оценки болеутоляющей силы и диагностики боли были предложены различные биомаркеры. Поскольку их клиническая полезность еще не доказана, цель этого зонтичного обзора заключается в обобщении имеющихся данных о всех видах обезболивающих биомаркеров. Методы: Систематические обыски проводились в Пуббмеде, Скопусе и Кокрейнской библиотеке с момента их создания 2 Июнь 2025. Приемлемыми исследованиями были систематические обзоры и

Using virtual reality hypnosis during stem cell transplant for patients in hematology: A protocol for a feasibility randomized study.

BackgroundStem cell transplantation is a highly stressful treatment for hematological cancer patients, negatively impacting their quality of life. Hypnosis has proven effective in managing symptoms like pain, fatigue, and anxiety, and improving quality of life. Virtual reality (VR) is used in cancer treatments to distract from pain, and combining VR with hypnosis (VRH) could enhance the hypnotic experience. However, methodological limitations in current studies prevent clear evaluation of its effectiveness, particularly for individualized care and psychosocial interventions.Aims1) To evaluate

Residential green spaces and neurodegenerative diseases in middle-aged and older adults: a systematic review and dose-response meta-analysis.

BackgroundThe potential protective role of residential green space against neurodegenerative diseases (NDs) is a topic of growing interest, yet evidence remains inconsistent. This systematic review and meta-analysis aimed to synthesize the current evidence on this association in middle-aged and older adults.MethodsWe searched PubMed, Embase, Web of Science, and the Cochrane Library through March 15, 2025, for observational studies that evaluated the association between objectively measured residential green space and the incidence of NDs in middle-aged and older adults. Risk of bias was assess

A chain mediation model reveals the association between metacognition and quality of life in hematologic tumor patients.

The study aims to explore the relationship among metacognition (MC), fear of disease of progression (FoP), psychological distress (PD), and quality of life (QoL), and verify whether FoP and PD have a chain mediating effect between MC and QoL. 231 hematologic tumor patients in a large tertiary hospital were investigated by using Meta-Cognitions Questionnaire-30, Fear of Progression Questionnaire-Short Form, Hospital Anxiety and Depression Scale, and Functional Assessment of Cancer Therapy scale. Data analyses were performed using IBM SPSS (version 25.0) and the PROCESS macro (version 4.1). The