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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 "

Инвентаризация поведения мужчин, имеющих сексуальные отношения с мужчинами: бифакторная проверка, диагностика IRT и клинические отсечки.

Справочная информация: Навязчивые сексуальные расстройства широко распространены среди мужчин, вступающих в половые отношения с мужчинами (МСМ), и связаны с неблагоприятными последствиями для здоровья, однако в этой области крайне не хватает проверенных инструментов оценки. Цель этого исследования состояла в том, чтобы адаптировать Инвентарь Гиперсексуального поведения (ГБИ) среди португальских МШМ (N = 1116 из четырех исследований). Метод и результаты: После перевода и адаптации (Study 1a/1b) в аналитическом анализе факторов была предложена двухфакторная структура инструмента (Study 2). Кроме

Obesity Pillars roundtable: Excessive weight reduction with highly effective anti-obesity medications (heAOMs).

BackgroundHistorically, many anti-obesity medications (AOMs) were withdrawn from development and/or the market due to safety concerns. Another challenge was that, with some exceptions, most of these AOMs had limited weight reducing efficacy. Approved AOMs often did not meet the weight reduction expectations of either clinicians, or their patients. Currently, newer approved and investigational AOMs achieve greater weight reduction than older AOMs. This has prompted an emerging new challenge of "too much weight loss" with some of these highly effective anti-obesity medications (heAOM) - somethin

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… During their first visit, I engage my patients with obesity in a discussion of the current social stigma around weight, and how new stigmas may emerge as others interact with them differently at their “new normal” weight. …

Community-based adaptation of early adolescent skills for emotions for urban adolescents and caregivers in New York City.

An increasing number of studies have sought to explore the applicability of scalable mental health interventions to bridge the adolescent mental health treatment gap. This study aimed to adapt the World Health Organization's mental health intervention Early Adolescent Skills for Emotion (EASE) for urban communities in New York City (NYC). Following the mental health Cultural Adaptation and Contextualization for Implementation framework and in collaboration with three Brooklyn community-based organizations and the NYC Mayor's Office of Community Mental Health, the intervention was intensively w

Насильственные сексуальные похитители, потребление порнографии и совместные нарушения среди студентов колледжей.

Проблемное использование порнографии (ППП) и другие виды сексуального поведения, связанные с навязчивым поведением, связаны с многочисленными психосоциальными последствиями, причем мужчины чаще, чем женщины. Однако меньше известно о частотности и взаимосвязи между PUP, CSB, депрессией и проблемами употребления алкоголя, особенно среди студентов колледжей, которые могут поддерживать такое поведение более высокими темпами. Цель этого исследования состояла в том, чтобы определить взаимосвязь между совместными ЦСУ, ППУ, проблемами с потреблением алкоголя и депрессией по признаку пола (77 процентов

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… This finding could suggest that PPU and CSBs are more distressing in women than men, potentially due to social stigma, decreased help-seeking attitudes for PPU and CSBs, or gender specific underlying transdiagnostic mechanisms (Fraumeni-McBride, 2023 ). …

Cancer in public figures, 2010-2020.

BackgroundThe public perception of cancer is often influenced through news stories on public figures diagnosed with cancer. However, most stories lack granular details on cancer type, treatment, and prognosis, which may create more doubt rather than clarity for readers. We sought to understand how news stories portray cancer in public figures.Materials and methodsNews stories with a cancer headline that were published between 1 January 2010 and 1 January 2020 were identified using Google News.ResultsWe identified 4135 news articles with a cancer headline published between 2010 and 2020, of whi

Managing emotional and physical stress in sickle cell anemia: a review of effective strategies and approaches.

Sickle cell anemia (SCA) is a genetic blood disorder characterized by recurrent pain episodes, chronic complications, and significant emotional and physical stress. This review article explores effective strategies for managing both the emotional and physical aspects of stress in SCA patients. A comprehensive literature search was conducted across multiple databases, including PubMed, Scopus, and Google Scholar, using keywords such as "sickle cell anemia", "stress management", "psychological support", and "pain management". Emotional stress in SCA arises from chronic pain, frequent hospitaliza

Patient Perspectives on Palliative Care Outreach to Adults Living With Homelessness.

ImportancePeople experiencing homelessness face higher rates of early mortality, multimorbidity, and unmet needs at the end of life, but despite these risks, they often encounter systemic barriers to accessing palliative care. Outreach-based models have emerged to address this gap, yet little is known about how these models are perceived by those receiving care.ObjectiveTo evaluate a palliative care outreach intervention, the Palliative Education and Care for the Homeless (PEACH) program, from the perspective of patients living with homelessness and life-limiting illness.Design, setting, and p

Hepatitis C Screening: A Health Technology Assessment.

BACKGROUND: Hepatitis C virus (HCV) infection causes liver inflammation that, if left untreated, can lead to scarring of the liver (cirrhosis), liver failure, liver cancer (hepatocellular carcinoma [HCC]), and death. For most people, this process usually progresses slowly, over 10 to 20 years or more, during which time the person may remain asymptomatic despite the ongoing process of liver damage. HCV screening aims to identify people with an HCV infection so that they can be linked to care and treatment. We conducted a health technology assessment of (1) one-time HCV screening for all adults

Prognostic disclosure in cancer care: a systematic literature review.

BackgroundCollusion in cancer care is the diplomatic concealment of information between a triad of the health care professional (HCP), patient, and caregiver. Free and expressive communication is determined by multiple factors, which establishes a healthy balance between 'patient-centric' and 'family-centric' decision making. The lack of a universal approach to prognostic disclosure techniques emphasizes the need for a systematic review of contemporary practice.MethodsA systematic review of the literature was conducted till June 2020 using themes based on cancer, communication, prognostic disc

Case Report: The intersection of psychiatry and medicine: diagnostic and ethical insights from case studies.

The intersection of psychiatry and medicine presents unique diagnostic and ethical challenges, particularly for conditions involving significant brain-body interactions, such as psychosomatic, somatopsychic, and complex systemic disorders. This article explores the historical and contemporary issues in diagnosing such conditions, emphasizing the fragmentation of medical and psychiatric knowledge, biases in clinical guidelines, and the mismanagement of complex illnesses. Diagnostic errors often arise from insufficient integration between general medicine and psychiatry, compounded by the relian

Комментарий редакционного характера: Спокойствие симптомов нижнего увлажнения прогнозирует нейрологическое качество жизни у пациентов с множественным склерозом.

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… Additionally, psychosocial issues, such as depression, anxiety, social stigmas, high costs for maintaining healthcare, limitations in social activities, loss of independence or even social isolation. …

Survey of MaineHealth Cancer Care Network Providers on Cannabis Use: Preparation for Studies Sponsored by the National Cancer Institute.

IntroductionCannabis and cannabinoid use in patients with cancer has rapidly scaled up over the past decade and is a topic of considerable clinical, research, and public health interest.MethodsWe conducted a cannabis landscape survey among front-line providers in the MaineHealth Cancer Care Network (MHCCN) before applying and participating in National Cancer Institute (NCI)-sponsored studies on cannabis use in patients with cancer. The results of the survey can better inform participation in national studies and provide a departure point for provider educational activities focused on cannabis

Теоретический опыт в множестве склерозов: функциональные неврологические симптомы, недовольство изображением тела и расстройство пищевой практики. Обзор описательной части.

Множественный склероз (MS) — хроническое заболевание центральной нервной системы, связанное с целым рядом физических, когнитивных и психологических трудностей. Помимо классических неврологических симптомов, нарушения физического опыта, включая функциональные неврологические симптомы, соматизацию, расстройства, связанные с изображением тела, и расстройство питания, представляют собой недооцененный, но клинически значимый аспект болезни. В настоящем докладе обобщаются данные, полученные от взрослого и педиатрического населения, с уделением особого внимания частому соучастию этих нарушений в рабо

MyPainPal, a Novel mHealth App to Improve Pain in Patients With Advanced Cancer: Single-Arm Pilot Study.

BackgroundPain is common among patients with advanced cancer and is often inadequately controlled. Opioids are central to treatment; yet, self-management is challenging, and clinicians lack scalable tools to monitor and support patients between visits.ObjectiveThis study aimed to evaluate the feasibility and acceptability of MyPainPal (Dana-Faber Cancer Institute), a novel mobile health app designed to optimize cancer pain management. MyPainPal combines daily surveys assessing symptoms and analgesic use, algorithmic self-management support, tailored psychoeducation, and clinician monitoring. S

Effects of a Sound Intervention on Physical and Emotional Well-Being in Patients with Cancer: A Prospective Randomized Trial.

AimCancer remains a disease with a significant impact on morbidity and mortality but also on quality of life. This prospective randomized pilot study investigated the effects of a sound intervention on physical and emotional well-being in outpatients with cancer.MethodsTwo self-applied sound interventions were used for this purpose, either active "music playing" with a body monochord or passive sound intervention with headphones to listen to a given music compilation. Interventions were carried out over a period of 4 weeks for at least 15 min in the evening before bedtime. The following self-a

Facing financial barriers to healthcare: patient-informed adaptation of a conceptual framework for adults with a history of cancer.

BackgroundCancer-related financial hardship is associated with negative clinical outcomes, which may be partially explained by cost-related delayed or forgone care in response to financial barriers. We sought to understand patient experiences facing financial barriers to medical care following a cancer diagnosis.MethodsWe conducted virtual, semi-structured interviews in Fall 2022 with 20 adults with a history of cancer who had experienced cancer-related financial hardship in the prior year. We used template analysis within a pragmatic paradigm, combining constructivist and critical realist the

Indications and contraindications of dental implants in medically compromised patients: update.

OBJECTIVES: People with systemic sclerosis (SSc) are vulnerable in COVID-19 and face challenges related to shifting COVID-19 risk and protective restrictions. We evaluated mental health symptom trajectories in people with SSc through March 2022. METHODS: The longitudinal Scleroderma Patient-centred Intervention Network (SPIN) COVID-19 cohort was launched in April 2020 and included participants from the ongoing SPIN Cohort and external enrolees. Analyses included estimated means with 95% CIs for anxiety and depression symptoms pre-COVID-19 for ongoing SPIN Cohort participants and anxiety, depr

Суицидальные идеи у пациентов с множественным склерозом и его связь с клиническими и демографическими характеристиками.

Хронические неврологические заболевания, такие, как множественный склероз (МС), являются важными факторами риска для некоторых психологических расстройств, таких, как депрессия и, следовательно, суицидальное поведение. Поскольку идея самоубийства (SI) является одним из важных факторов прогнозирования попыток самоубийства и смертности от самоубийств, признание факторов, связанных с появлением SI у пациентов с MS, имеет большое значение. ЦЕЛЬ: Данное исследование направлено на оценку взаимосвязи между социально-демографическими, психологическими и болезнетворными характеристиками у пациентов с M

Приемлемость и пригодность ассистивных средств и технологий для лиц с множественным склерозом: качественное исследование с участием профессиональных терапевтов.

ВВЕДЕНИЕ: Вспомогательное оборудование и технология (АЭ и Т) часто являются частью практики профессиональной терапии для лиц с множественным склерозом (МС). Мы стремимся изучить приемлемость и удобство использования ЭИ и Т людьми, имеющими НР, с точки зрения профессиональных терапевтов. МЕТОДЫ: В нашем исследовании использовался качественный описательный дизайн с использованием полуструктурированных опросов, проведенных с пятью квалифицированными профессиональными терапевтами, имеющими по меньшей мере 6-месячный опыт в деле обеспечения профессиональной терапии взрослых, имеющих MS. Для анализа