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Beyond fluid overload: uncovering the hidden causes of dyspnea in hemodialysis patients.

BACKGROUND: Shortness of breath is a common and complex symptom in patients with advanced kidney failure treated with hemodialysis. It may result from excess fluid accumulation, cardiac dysfunction, or impaired lung performance. We studied the interactions between hydration status, pulmonary function, and muscle strength. METHODS: This cohort study included 29 patients on maintenance hemodialysis. Each participant underwent lung function testing, diffusing capacity for carbon monoxide measurement, handgrip strength assessment, body composition analysis by bioimpedance, echocardiography, and l

Phase II study of the c-MET inhibitor tivantinib (ARQ 197) in patients with relapsed or relapsed/refractory multiple myeloma.

The hepatocyte growth factor/c-MET pathway has been implicated in the pathobiology of multiple myeloma, and c-MET inhibitors induce myeloma cell apoptosis, suggesting that they could be useful clinically. We conducted a phase II study with the c-MET inhibitor tivantinib in patients with relapsed, or relapsed and refractory myeloma whose disease had progressed after one to four prior therapies. Tivantinib, 360 mg orally per dose, was administered twice daily continuously over a 4-week treatment cycle without a cap on the number of allowed cycles, barring undue toxicities or disease progression.

Nutritional vulnerability, food insecurity, and unmet supportive care needs in multiple myeloma: a cross-sectional study from China.

BACKGROUND: Multiple myeloma patients experience nutritional vulnerability through disease-related factors, treatment toxicity, and systemic inflammation, yet comprehensive assessment integrating validated nutrition screening with health equity dimensions remains limited. This study characterized nutritional vulnerability prevalence, determinants, and supportive-care access barriers among Chinese multiple myeloma patients. METHODS: This single-center, cross-sectional observational study conducted at Shanxi Provincial Key Laboratory, Taiyuan, China (January 2020-December 2024) employed compreh

Evaluating a web-based computer-tailored physical activity intervention for those living with and beyond lung cancer (ExerciseGuide UK): protocol for a single group feasibility and acceptability study.

BackgroundLung cancer is the leading cause of cancer-related death globally. Physical activity and exercise provide unequivocal benefits to those living with and beyond lung cancer. However, few of those living with and beyond cancer meet the national physical activity guidelines. Various barriers exist for this population's engagement in physical activity and exercise, such as the lack of knowledge and lack of tailored information, little access to exercise specialists, fatigue, and mobility challenges. Digitally delivered programmes have the potential to address several of these barriers, wi

Patient-Reported Outcomes with Peripheral Nerve Stimulation for Low Back Pain from Vertebral Plana Deformities: A Case Series.

Objectives: This study evaluated peripheral nerve stimulation (PNS) as a treatment for vertebra plana fractures, focusing on its impact on pain intensity, physical function, anxiety, depression, fatigue, social role participation, and pain interference. The goal was to assess whether PNS could serve as a minimally invasive alternative for managing pain in patients with severe vertebral fractures. Methods: Four patients with lumbar vertebra plana fractures received PNS implants for 60 days. Pain scores and PROMIS-29 domains (physical function, anxiety, depression, fatigue, social participation,

Skeletal muscle dysfunction induced by cancer immunotherapy: mechanistics insights and surgical implications.

Cancer immunotherapy has revolutionized cancer treatment, yet its effects extend far beyond tumor eradication. Accumulating evidence indicates that immunotherapy-associated skeletal muscle dysfunction represents a complex, cross-organ pathological process driven by dynamic crosstalk between the tumor microenvironment and peripheral tissues. Rather than an isolated adverse event, muscle injury emerges from integrated mechanisms including inflammatory cytokine spillover, aberrant immune cell infiltration, metabolic reprogramming, vascular dysfunction, and impaired regenerative signaling. Central

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… Mitochondrial Dysfunction: Mitochondrial dysfunction constitutes a pivotal metabolic underpinning of immunotherapy-associated muscle fatigue and functional impairment. …

Comprehensive analysis of acute flaccid paralysis with and without myelitis in Taiwanese children.

BACKGROUND: Acute flaccid paralysis (AFP) is a clinical syndrome marked by the sudden onset of muscle weakness or paralysis, requiring immediate medical intervention due to its potential for significant morbidity and mortality. Despite extensive studies on AFP, comparative analyses between cases with myelitis (M-AFP) and non-myelitis (NM-AFP) remain scarce. This study seeks to address this gap by analyzing demographic, clinical, and etiological distinctions between these groups. METHODS: A retrospective study was conducted on 39 pediatric AFP patients diagnosed between 2012 and 2021. Particip

Оценка интенсивности мышечной схватки с помощью почти инфракрасной спектроскопии, потенциальное применение для масштабирования мышечной спазмы.

Мышечная спастичность, распространенная в таких условиях, как церебральный паралич, повреждение спинного мозга и множественный склероз, традиционно оценивается с использованием модифицированной шкалы Эшворта, которая не является последовательной. В этом исследовании проводится оценка почти инфракрасной спектроскопии (NIRS) в качестве неинвазивного средства измерения интенсивности сжимания мышц. Тридцать семь здоровых взрослых провели изометрические сокращения с различной силой (15%, 30%, 45% и 60% максимального добровольного сокращения), при этом датчики НДКМ отслеживали изменения в индексе ки

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… This decline in correlation may be attributed to several physiological factors, including increased muscle fatigue, altered motor unit recruitment strategies, and localized variations in oxygen utilization within the muscle tissue [ 26 , 27 , 28 ]. …

Резюме 18th Неевромускульная научно-исследовательская конференция Соединенного Королевства 15th и 16th апрель 2025.

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Obesity and Cancer Rehabilitation for Functional Recovery and Quality of Life in Breast Cancer Survivors: A Comprehensive Review.

Obesity is a global health challenge with increasing prevalence, and its intricate relationship with cancer has become a critical concern in cancer care. As a result, understanding the multifactorial connections between obesity and breast cancer is imperative for risk stratification, tailored screening, and rehabilitation treatment planning to address long-term survivorship issues. The review follows the SANRA quality criteria and includes an extensive literature search conducted in PubMed/Medline, Web of Science, and Scopus. The biological basis linking obesity and cancer involves complex int

mHealth-Supported Exercise Rehabilitation to Reverse Frailty After Autologous Transplantation in Multiple Myeloma: Randomized Controlled Trial.

BACKGROUND: Frailty is highly prevalent in survivors of multiple myeloma (MM) after autologous hematopoietic cell transplantation and is associated with poor functional recovery and adverse clinical outcomes. Although exercise is known to improve physical function, traditional center-based rehabilitation models are often inaccessible to this population during early posttransplant recovery. Mobile health (mHealth)-supported exercise may offer a scalable alternative; however, evidence in hematologic malignancies remains limited. OBJECTIVE: This study aimed to evaluate the effects of a 16-week m

Long-term effectiveness and cost-effectiveness of an 18-week supervised exercise program in patients treated with autologous stem cell transplantation: results from the EXIST study.

PURPOSE: To evaluate the long-term effectiveness and cost-effectiveness of a supervised 18-week high-intensity exercise program compared with usual care in patients treated with autologous stem cell transplantation. METHODS: One hundred nine patients were randomly assigned to the exercise intervention (n = 54) or the usual care control group (n = 55). Data on cardiorespiratory fitness (VO2peak), handgrip strength, general fatigue, and health-related quality of life (quality-adjusted life years [QALYs]) were collected at baseline (T0), after completion of the exercise intervention or at a simi

Mechanisms of chemotherapy-induced behavioral toxicities.

While chemotherapeutic agents have yielded relative success in the treatment of cancer, patients are often plagued with unwanted and even debilitating side-effects from the treatment which can lead to dose reduction or even cessation of treatment. Common side effects (symptoms) of chemotherapy include (i) cognitive deficiencies such as problems with attention, memory and executive functioning; (ii) fatigue and motivational deficit; and (iii) neuropathy. These symptoms often develop during treatment but can remain even after cessation of chemotherapy, severely impacting long-term quality of lif

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… Peripheral fatigue refers to physical exhaustion and is often described in terms of muscle fatigue and lack of physical energy. … Indeed, central inhibition of adenosine signaling, via caffeine administration, has been shown to decrease muscle fatigue as well as to increase motor activity (Davis et al., 2003 ). …

Recovery of physical function, muscle mass, and quality of life in patients undergoing allogeneic hematopoietic stem cell transplantation.

This study aimed to investigate the recovery of physical function, muscle mass, and quality of life (QOL) in allogeneic hematopoietic stem cell transplantation (allo-HSCT) patients 1 year after the procedure. A total of 71 patients who underwent allo-HSCT at our institution between February 2010 and June 2020, for whom a physical therapy assessment could be performed before allo-HSCT, at discharge, and 1 year after the procedure, were included. Exercise therapy during hospitalization was provided individually by a physical therapist, and exercise was self-administered after discharge. One year

Безопасность персонала COVID-19 Вакцины у пациентов с множественным склерозом: перекрестное исследование из центра третьей реабилитации в Саудовской Аравии.

Общие сведения о безопасности и неблагоприятных последствиях (АВ), связанных с утвержденными COVID-19 вакцины у лиц с множественным склерозом (МС) требуют дальнейшего изучения, особенно с учетом того, что в Саудовской Аравии имеется ограниченная информация для пациентов с склерозом. Цель этого исследования заключалась в расследовании сообщений об ОЭ COVID-19 - вакцины среди пациентов, страдающих НР, были приняты в крупный реабилитационный центр в Саудовской Аравии. С января был проведен межсекторальный анализ 2023 по март 2024 в Гуманитарном городе Султан бен Абдель Азиз (SBAHC) в Эр-Рияде. Вс

Как изменяется первая терапия у пациентов с несколькими миеломами без трансплантации.

Результаты лечения пациентов с множественной миеломой улучшились в последние десятилетия благодаря новым представлениям о биологии болезни и внедрению новых лекарств и терапевтических подходов. Более половины пациентов с множественной миеломой не имеют права на трансплантацию, и в течение многих лет их лечение было затруднено из-за неоднородности этой группы пациентов и отсутствия вариантов лечения. В последнее время внимание было сосредоточено на концепции хрупкости и ее количественной оценке, с тем чтобы привести график и дозировку лечения в соответствие с требованиями физической пригодности

Using digital technology to support wellbeing and independence among people living with incurable cancers: a systematic review.

PurposeThe purpose of this systematic review is to summarise and evaluate the feasibility, acceptability, and potential efficacy of using digital technology to deliver physical activity and/or nutrition interventions to promote wellbeing and independence among adults with advanced or incurable cancer.MethodsSystematic structured searches for any experimental study exploring physical activity and/or nutrition intervention delivery with digital technology were conducted in PsycINFO, MEDLINE, EMBASE, CINAHL, Web of Science Core Collection, and the Cochrane Central Register of Controlled Trials. A

Association of Physical Activity with Dementia Risk in Cancer Survivors: A Korean Nationwide Cohort Study.

PURPOSE: This study aimed to investigate the impact of physical activity on dementia risk among cancer survivors in South Korea. MATERIALS AND METHODS: This retrospective, population-based cohort study included 344,152 cancer survivors identified from the National Health Insurance Service database in South Korea. The mean follow-up time was 5.81 years. Different levels of physical activity post-cancer diagnosis, ranging from inactive to highly active, were assessed. The primary outcome was the incidence of overall dementia, Alzheimer's disease, and vascular dementia. Secondary outcomes includ

Когнитивное функционирование у выживших жертв токсического синдрома нефти: изучение конкретных случаев через четыре десятилетия после эпидемии.

Фон: Синдром токсического масла (СТО) является одной из основных эпидемий, передаваемых через продукты питания, которая произошла в Испании в мае 1981 года и была вызвана перевариванием изнасилованного масла анилиной. Хотя соматические последствия ГС хорошо задокументированы, ее долгосрочные когнитивные последствия остаются недостаточно понятными более чем через четыре десятилетия после воздействия. Методы: В рамках данного исследования по вопросам контроля 50 лиц, имеющих клинически подтвержденную ГС, были сопоставлены с 50 мерами контроля за состоянием здоровья, соответствующими возрасту, по

Удобство, последовательность и эффективность одежды с текстильными электродами по сравнению с гидрогелевыми электродами для нейромускульной электрической стимуляции в ходе случайного перекрестного испытания.

Эффективность и комфортность нейромускульной электрической стимуляции (NMES) в значительной степени зависят от типа используемых электродов. Традиционные самоклеющиеся гидрогельные электроды, хотя и являются эффективными, создают ограничения с точки зрения износа, совместимости кожи и воспроизводимости. В ходе этого случайного перекрестного испытания изучается эффективность конкретного текстильного электрода, встроенного в одежду NMES нижних конечностей, с уделением особого внимания их потенциальному применению для реабилитации пациентов с неврологическими расстройствами, такими, как инсульт,

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… After a washout period of at least 48 h to minimize carryover effects of muscle fatigue, participants crossed over to the other condition. … To avoid muscle fatigue in the dominant leg, this familiarization was conducted on the non-dominant leg using the corresponding type of electrode. …