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Experiences and Perspectives of Patients with Non-HIV-Associated Lipodystrophies and Their Caregivers: A Qualitative Study.

BackgroundLipodystrophy comprises a group of conditions characterized by loss of functional adipose tissue, resulting in severe metabolic complications and a complex range of symptoms.ObjectiveThis study sought to gain a holistic understanding of the impact of congenital or non-human immunodeficiency virus acquired lipodystrophies on the quality of life of patients and their caregivers and to capture the impact of lipodystrophy on quality of life using a standard instrument.MethodsTen patients with lipodystrophies and five caregivers from the USA and UK were recruited through convenience sampl

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… Burden of Disease on Caregivers The impact of lipodystrophy on caregivers and patients’ families included work loss resulting in reduced household income, social stigma, and challenges navigating healthcare systems. Two of three female caregivers discontinued or limited employment to provide care. …

Частота дрожания у людей с множественным склерозом: систематический обзор и метаанализ.

Множественный склероз (MS) представляет собой хроническое нейродегенеративное расстройство, вызывающее различные симптомы, включая тромбы, которые оказывают значительное воздействие на качество жизни и инвалидность людей с MS (PwMS). В предыдущих исследованиях сообщалось о широком диапазоне дрожь в PwMS, что потребовало проведения всеобъемлющего обзора надежных оценок. ЦЕЛИ: Цель настоящего обзора заключалась в уточнении частотности дрожжей среди PwMS. МЕТОД: В период до апреля в Пубмед/МЕДЛИНЕ, Эмбазе, Скопусе и Сети научных исследований проводились систематические обыски 27, 2024, для выявле

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… This reduction in the quality of life is usually caused by motor dysfunctions, social stigma, inability to find a job, and disturbance in social activities, which can eventually be associated with depression [18] . In this regard, A. …

Diversity, Equity, and Inclusion in Multiple Myeloma: A Call to Action.

BackgroundAlthough advancements in multiple myeloma therapy have rapidly evolved, pervasive racial and social inequities prevent uniform benefit across diverse patient populations. This affects access to US Food and Drug Administration-approved treatments and to clinical studies. The impact of health-care inequities is not well understood and thus, the development of effective strategies is inadequate. We identify different disparities including race, age, socioeconomic status, and sexual preference/orientation and their effect on patient care. We explore recommendations for the advanced pract

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… Better understanding of sexual minorities may help to address these issues and identify strategies to improve access and decrease social stigma. …

Predictors of Compulsive Sexual Behavior Among Treatment-Seeking Women.

BACKGROUND: Compulsive Sexual Behavior Disorder is currently included in the forthcoming eleventh revision of the International Classification of Diseases (ICD-11); however, prior studies have been conducted mostly on heterosexual, White/European male samples. AIM: To examine the correlates of compulsive sexual behaviors (CSB) with sociodemographic and sexual history characteristics, as well as predictors of CSB in a sample of treatment-seeking Polish women. METHODS: Six hundred seventy-four (674) Polish women aged 18-66 completed an online-based survey. OUTCOMES: Polish adaptation of the S

Understanding the Experience of Cancer Pain From the Perspective of Patients and Family Caregivers to Inform Design of an In-Home Smart Health System: Multimethod Approach.

BackgroundInadequately managed pain is a serious problem for patients with cancer and those who care for them. Smart health systems can help with remote symptom monitoring and management, but they must be designed with meaningful end-user input.ObjectiveThis study aims to understand the experience of managing cancer pain at home from the perspective of both patients and family caregivers to inform design of the Behavioral and Environmental Sensing and Intervention for Cancer (BESI-C) smart health system.MethodsThis was a descriptive pilot study using a multimethod approach. Dyads of patients w

Building Trust in a Newly Established Physician-Patient Relationship: A Scoping Review.

BackgroundTrust is a fundamental component of the physician-patient relationship, influencing cooperation, adherence, and patient outcomes. While much research has focused on long-term relationships, little is known about the factors that shape trust during the very first physician-patient encounter.ObjectiveThe aim of this study was to assess the factors contributing to the development of patients' trust in a newly established physician-patient relationship.Search strategyWe conducted a scoping review and applied thematic analysis to synthesise findings from identified studies. PubMed databas

Nurse-Led Interventions and Outcomes in Adult Hematopoietic Stem Cell Transplant Recipients: A Scoping Review.

Background/Objectives: Hematopoietic cell transplantation (HCT) is increasingly used to treat malignant and non-malignant hematologic diseases and is associated with complex physical, psychological, and informational needs. Nurses play a central role in HCT care; however, the range, characteristics, and reported outcomes of nurse-led interventions have not been comprehensively synthesized. This review aimed to identify the types and outcomes of nurse-led interventions in adult HCT recipients and highlight gaps in evidence. Methods: The review was initially registered as a systematic review and

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… Therefore, nurse-led interventions can help HCT recipients cope with the associated challenges, such as the longer recovery process, long-term physical symptoms, survivorship uncertainty, social stigma and discrimination related to being perceived as a burden, self-management skills, and others. …

Patient perspectives on symptoms, health-related quality of life, and treatment experience associated with relapsed/refractory multiple myeloma.

Abstract Purpose This study aimed to better understand the patient perspective and treatment experience of relapsed and/or refractory multiple myeloma (RRMM). Methods This qualitative study enrolled adult RRMM patients from 6 US clinics who had ≥ 3 months of life expectancy, ≤ 6 prior lines of therapy, and ≥ 1 treatment regimen with a proteasome inhibitor and immunomodulator, or a CD38 monoclonal antibody or an alkylating agent, and a steroid. In-person semi-structured qualitative interviews were conducted to capture concepts that were relevant and important to patients. Topics included RRMM s

Priority setting in health: development and application of a multi-criteria algorithm for the population of New Zealand's Waikato region.

BackgroundPriority setting in a climate of diverse needs and limited resources is one of the most significant challenges faced by health care policymakers. This paper develops and applies a comprehensive multi-criteria algorithm to help determine the relative importance of health conditions that affect a defined population.MethodsOur algorithm is implemented in the context of the Waikato District Health Board (WDHB) in New Zealand, which serves approximately 10% of the New Zealand population. Strategic priorities of the WDHB are operationalized into five criteria along which the algorithm is s

Chronic Non-cancer Pain Management and Addiction: A Review.

The use of opioids in chronic non-cancer pain (CNCP) has been a fast-rising treatment phenomenon in the last two decades. Though opioids are advocated in various chronic pain management guidelines, their use in chronic non-cancer pain still remains controversial as evidence of this approach is still weak. This paper highlights potential adverse effects associated with opioid use in pain management, including an increase in tolerance, dependence, and addiction outcomes. Nonetheless, opioids have an important place in contemporary CNCP management for selected patients. However, pain management m

Факторы риска для перинатальных психических заболеваний при многочисленных склерозах.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Матери с РС сталкиваются с возросшей распространенностью и распространенностью перинатальных психических заболеваний по сравнению с матерями, не имеющими НР. ЦЕЛЬ: Определение факторов, связанных с риском перинатальных психических заболеваний у матерей с НР. МЕТОДЫ: В период с 2002 по 2019 год мы выявили матерей с НР с живыми родами с использованием увязанных с демографическими данными административных данных из Онтарио, Канада. Используя подтвержденные определения, мы оценивали распространенность психических заболеваний (депрессия, беспокойство, биполярное расстройство)

Alcohol Misuse in Older Women: A Scoping Review of Correlates, Consequences, Treatment, and Prevention.

BackgroundAlcohol use and alcohol use disorder (AUD) among older women (defined as age 50 and over) have increased substantially in recent years. Compared to men and younger women, older women negotiate biopsychosocial transitions that put them at greater risk of alcohol-related health conditions as they age and are less reliably screened and treated for heavy alcohol use and AUD.ObjectivesThis scoping review represents a critical evaluation of research methodology and findings since 2004 on biopsychosocial correlates and consequences of alcohol misuse (i.e., heavy alcohol use, defined as four

Effect of expressive writing on the sexual self-concept in men with multiple sclerosis: a randomized clinical controlled trial.

BACKGROUND: Previous studies have examined the various outcomes of expressive writing intervention in different populations. The purpose of this study was to evaluate the effect of expressive writing on the sexual self-concept of men with multiple sclerosis. METHODS: This parallel randomized controlled clinical trial conducted on 70 men attending an MS clinic in Tehran in 2022. The participants were randomly assigned to expressive writing intervention and control groups. For two weeks, participants in the intervention group disclosed their emotions and expressed their feelings in writing twic

A Systematic Review of Trajectories of Clinically Relevant Distress Amongst Adults with Cancer: Course and Predictors.

To improve interventions for people with cancer who experience clinically relevant distress, it is important to understand how distress evolves over time and why. This review synthesizes the literature on trajectories of distress in adult patients with cancer. Databases were searched for longitudinal studies using a validated clinical tool to group patients into distress trajectories. Twelve studies were identified reporting trajectories of depression, anxiety, adjustment disorder or post-traumatic stress disorder. Heterogeneity between studies was high, including the timing of baseline assess

An analysis of discrepancies between United Kingdom cancer research funding and societal burden and a comparison to previous and United States values.

BackgroundIdeally, the allocation of research funding for each specific type of cancer should be proportional to its societal burden. This burden can be estimated with the metric 'years of life lost' (YLL), which combines overall mortality and age at death.MethodsUsing United Kingdom data from 2010, we compared research funding from the National Cancer Research Institute to this YLL burden metric for 26 types of cancers in order to identify the discrepancies between cancer research funding allocation and societal burden. We also compared these values to United States data from 2010 and United

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… Some cancers may also be underfunded due to a social stigma, in which it is not socially normal or appropriate to talk openly about them and raise awareness or consider burden. …

Сексуальное здоровье после неврологических расстройств: всеобъемлющий обзор данных о лечении.

Предыстория/задачи: Сексуальная дисфункция (СД) и более широкие проблемы сексуального здоровья являются распространенными после неврологических расстройств, однако улики вмешательства разрознены по различным условиям и результатам. В ходе этого зонтичного обзора были собраны и оценены на систематической основе данные о мерах, направленных на УР и сексуальное здоровье неврологических групп населения, а также квалифицированные выводы с использованием достоверной информации. Методы: с момента создания были проведены обыски PubMed, Web of Science, Cochrane Bibrary, Embase, PsycINFO, EBCOCOhost и S

Codesigning a supportive online resource for Australian cancer carers: a thematic analysis of informal carers' and healthcare professionals' perspectives about carers' responsibilities and content needs.

ObjectiveTo gather preliminary qualitative data that will assist in the codesign and development of a new informational and supportive website to assist informal cancer carers in Australia.Design and settingUtilising a previously tested codesign process, informal carers' experiences and perspectives, including those of healthcare professionals', were examined via focus groups and/or interviews. Data were analysed via thematic analysis.ParticipantsRural (n=9) and urban (n=11) carers', and healthcare professionals' (n=8) perspectives were collected. Carers participated in a focus group (n=9) or

Protocol for a randomised controlled feasibility trial of an integrated psychosexual intervention for sexual difficulties in people with Multiple Sclerosis: the PIMS trial.

BACKGROUND: Multiple Sclerosis (MS) is a long-term condition that significantly diminishes quality of life (QoL). Sexual difficulties (SDs) are common, but often overlooked symptom, affecting 50-80% of people with MS (PwMS). The emergence of SDs in MS results from the intricate interplay of disease processes, treatments, and psychosocial factors, contributing to a further decline in QoL and adverse effects on body image, relationships, and psychological well-being. Despite the limited treatment options, which mainly include medications and physiotherapy, there is promise in psychological inter

Challenges in Treating Cancer Patients With Unstable Psychiatric Disorder.

In this review, we first present a case of chronic myeloid leukemia with acute psychosis, and then we will discuss the incidence of cancer in patients with psychotic disorders, the manifestations of new-onset psychosis, and the prevalence of preexisting psychosis in cancer patients, coupled with their impact on the treatment, diagnosis, and prognosis of cancer. This was a case that presented with acute psychosis and was found to have an elevated white blood cell count upon admission to an inpatient psychiatric unit. He was diagnosed with chronic myeloid leukemia and successfully managed with i

Беспокойство и депрессия у пациентов, у которых недавно диагностировали лимфому и миэлому.

Несмотря на то, что лимфома и миэлома создают физическое и психологическое бремя, данные о тревожности и симптомах депрессии у затронутых пациентов ограничены. Мы провели обследование в июле 2021 и сентябрь 2022 для характеристики тревоги и депрессии в группе взрослых пациентов, внутри 6 месяцев лимфомы или миэломы диагноза. Клинически значимая тревога и симптомы депрессии были определены как десятки ≥8 о соответствующих подмасштабах шкалы больничных тревог и депрессии. Мы провели оценку социально-демографических факторов, связанных с симптомами тревоги/депрессии, и проанализировали взаимосвяз