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[Meta-analysis of the Italian studies on short-term effects of air pollution].

BACKGROUND: In recent years, much attention has been given to review reports on the early effects of air pollution on health, measured through daily series of deaths and/or hospital admissions. A number of large planned meta-analyses (in which methods for data retrieval and processing are commonly planned a priori for all participating centers) are on going both in the US and in Europe. The National Mortality, Morbidity and Air Pollution Study included data from 90 US cities, whereas APHEA (Air Pollution and Health, a European Approach) considers data from about 30 european cities. The present

Оценка спроса на паллиативный уход у пациентов, не имеющих онкологов, в Чили.

Доступ к паллиативному уходу представляет собой новую глобальную проблему в области здравоохранения. В Чили недавно был принят закон о паллиативном уходе, предусматривающий охват паллиативным уходом неонологического населения. Таким образом, для надлежащего планирования политики в области здравоохранения необходима надежная и законная оценка спроса на паллиативную помощь. Годовая смертность от выявленных заболеваний оценивалась за периоды 2018-2020. Оценка спроса соответствует определению доли умерших пациентов, нуждающихся в паллиативном уходе, исходя из тяжести тяжелых страданий, связанных с

Lambda light chain-induced monoclonal gammopathy of renal significance, manifesting with Fanconi Syndrome and osteomalacia.

BACKGROUND: Monoclonal gammopathy of renal significance (MGRS) encompasses a heterogeneous group of kidney diseases in which a monoclonal immunoglobulin secreted by a clone of B cells or plasma cells causes kidney damage without meeting the hematological criteria for malignancy. Among the various forms of involvement, MGRS can manifest as a proximal tubule disorder, such as Fanconi syndrome (FS), characterized by urinary loss of phosphate, glucose, amino acids, uric acid and bicarbonate. Few cases of MGRS have been described in the literature, manifesting as FS and monoclonal production of lam

Suicides among Danish cancer patients 1971-1999.

Compared to the general population, the suicide risk among Danish cancer patients diagnosed in 1971-1986 was increased by 50% for men and 30% for women. We updated the earlier study to evaluate both long-term and recent trends in the suicide risk. Cancer patients with a first cancer diagnosed between 1971 and 1999 in Denmark were followed-up for completed suicide through 1999. Excluding nonmelanoma skin cancer, 564 508 cancer patients were included and 1241 suicides observed. Both the standardised mortality ratio (SMR) of suicide relative to the general population and the suicide rates were an

Cardiovascular Adverse Events Associated With Bispecific T-Cell Engager Therapy.

BACKGROUND: Although some cancer immunotherapies have been linked to increased cardiovascular risk, data on T-cell engager (TCE) therapy-associated cardiovascular complications remain limited. OBJECTIVES: This study sought to characterize the incidence and factors associated with cardiovascular events (CVEs) and mortality during TCE therapy. METHODS: We conducted a dual-center retrospective study of patients with cancer treated with TCEs between 2016 and 2024. The cumulative incidence of on-treatment CVEs (heart failure, arrhythmias, myocardial infarction, stroke) and cardiovascular mortalit

Продольная оценка качества жизни взрослых, связанная со здоровьем, с использованием ОВД.

Диализ связан с более низким качеством жизни по сравнению с пациентами, страдающими трансплантацией, и пациентами, имеющими ККД. Тенденции в области качества жизни являются схожими как в плане показателей качества жизни по конкретным областям, так и в целом. СПРАВОЧНАЯ ИНФОРМАЦИЯ: Имеются недостаточные данные об изменении качества жизни, связанного со здоровьем (HRQOL), с временным развитием ОВЗ. В этом исследовании мы провели оценку взаимосвязи между изменениями на этапах ОВК, общим и специфическим качеством жизни и определили факторы, связанные с этими изменениями. МЕТОДЫ: Данные были получе

Impact of hospital variation in hematologic malignancy patient proportions on outcomes of chronic lymphocytic leukemia patients undergoing cardiac surgery: insights from nationwide data analysis.

OBJECTIVE: This study aimed to investigate the impact of the proportion of hematologic malignancy patients in hospitals on the prognosis of chronic lymphocytic leukemia (CLL) patients undergoing cardiac surgery. Perioperative management of CLL patients is complex, particularly regarding immunosuppression and infection risks. METHODS: This retrospective study utilized data from the National Inpatient Sample (NIS) from 2010 to 2021. Adult CLL patients undergoing cardiac surgery were included, categorizing hospitals into five quintiles based on hematologic malignancy patient proportions. Outcome

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… Additionally, complementary measures, such as physician certifications or assessments of multidisciplinary treatment involvement, could provide more insight into the institution’s specialized capabilities. …

Roxadustat Versus Erythropoietin: The Comparison of Efficacy in Reversing Ventricular Remodeling in Dialysis Patients with Anaemia.

Background: Renal anaemia and left ventricular hypertrophy are the main complications of chronic kidney disease and are shared among dialysis patients. This retrospective study aimed to compare the efficacies of the hypoxia-inducible factor prolyl hydroxylase inhibitor roxadustat and recombinant human erythropoietin in reversing ventricular remodeling in dialysis patients with renal anaemia. Methods: A total of 204 participants underwent baseline examinations, including echocardiograms and laboratory tests, before being administered either treatment for at least 24 weeks from January 2018 to O

Multiple myeloma incidence and mortality trends in the United States, 1999-2020.

Multiple myeloma (MM) is a plasma cell disorder accounting for approximately 10% of hematologic malignancies. There is limited epidemiological evidence regarding the long-term trends and disparities in MM in the US. We conducted a multiple time point cross-sectional study using MM incidence rate data from the Surveillance, Epidemiology, and End Results (SEER) database and mortality data from the CDC Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER) Underlying Cause of Death database between 1999 and 2020. During this period, MM incidence has steadily increased, while MM mortalit

The Korea National Disability Registration System.

The Korea National Disability Registration System (KNDRS) was established in 1989 to provide social welfare benefits based on predefined criteria for disability registration and an objective medical assessment using a disability grading system. Disability registration requires (1) a medical examination by a qualified specialist physician and (2) a medical advisory meeting to review the degree of disability. Medical institutions and specialists for the diagnosis of disabilities are legally stipulated, and medical records for a specified period are required to support the diagnosis. The number o

Соприкасается ли родитель с подростками?

КОНТЕКСТ: В ходе обширных исследований изучалась взаимосвязь между воспитанием детей и подростками. Неизвестно, связано ли воспитание детей с более широкими аспектами способности подростков вступать в удовлетворительные сексуальные отношения. МЕТОДЫ: Самоотчетные данные были собраны в 2007 от 1,854 учащихся, средний возраст которых составлял 15.5 Годы, в центральной Шотландии. В ходе многовариантного анализа изучалась связь между процессами воспитания детей и сексуальными результатами (задержка первого полового акта, использование презервативов и ряд мер, отражающих контекст или предполагаемый

От прогнозирования к вмешательству: Искусственный интеллект для адаптивного реагирования и моделирования токсичности в клеточной терапии для гематологовых злодеяний.

Гематологическая магнелезность, включая острую лейкемию миэлоида, миэлодипластические синдромы, лимфому и множественную миелому, характеризуется глубокой биологической гетерогенностью и высокодинамичными траекториями лечения, которые традиционные статические прогнозирующие системы неполно улавливают. Клеточная терапия, такая, как химерик антигенная рецепторная терапия Т-клеток и трансплантация стволовых клеток с гематополией, предлагает потенциально лечебные варианты для рецидива или рефракторного заболевания, однако результаты остаются весьма различными, а управленческие решения, касающиеся и

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… Legal and regulatory considerations, including informed consent, certification of AI systems as medical devices, and assignment of liability, further underscore the necessity of interpretable models [ 42 ]. … Ultimately, the implementation of stringent ethical governance frameworks, including periodic re-certification of deployed AI systems, multistakeholder oversight committees, and ongoing monitoring for performance drift and inequitable outcomes, is a prerequisite for responsible and sustainable AI integration …

Существенный потенциал борьбы с миломой вливания зеленого чая и его компонента дигидромиритина.

Множественная миелома (ММ) — фатальная гематологическая порча, характеризующаяся перерастанием моноклонных плазменных клеток. Хотя зеленый чай имеет хорошо задокументированные антивизорные свойства, его специфические последствия для MM по-прежнему плохо характеризуются. Цель этого исследования состояла в изучении антимиеломной активности вливаний четырех репрезентативных зеленых чая и выявлении их эффективных компонентов. Мы обнаружили, что апоптоз клеток MM был вызван зелеными чайными вливаниями в зависимости от концентрации, при этом вливание чая в Билуочун продемонстрировало самую мощную эф

Факторы риска, выходящие за рамки воздействия химиотерапии на вторичные миелоидные неоплазмы после рака гематологов: исследование на основе СЭЭУ.

UNLABELLED. По мере того, как показатели выживаемости лимфоидных магнатов продолжают улучшаться, для выживших людей все большее значение приобретает понимание поздних последствий после лечения, таких, как вторичные миелоидные новообразования (SMN). В этом крупномасштабном исследовании населения (SEER-Medicare) были изучены факторы риска и кумулятивная распространенность SMN у пациентов с диагнозом диффузной большой лимфомы B-клеток (DLBCL), фолликулярной лимфомы (FL) и множественной миеломы между 2000 и 2011, с последующими мерами 2015. Пациенты с ПЛ постоянно увеличивают совокупное число НРМ

IMPROVE-BMT: A Pilot Randomized Controlled Trial of Prehabilitation Exercise for Adult Hematopoietic Stem Cell Transplant Recipients.

Background: There is limited evidence on the effects of aerobic and resistance training exercise interventions to improve physical function and patient-reported outcomes prior to autologous and allogeneic hematopoietic stem cell transplant (HSCT). IMPROVE-BMT was a single-site, pilot randomized controlled trial investigating the feasibility, acceptability, and safety of a pragmatic resistance training exercise program prior to HSCT compared to usual HSCT care. Secondary aims included differences in physical function between the exercise group (EX) and usual care control group (UC). Methods: Ou

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… After receiving oncologist approval, participants were contacted and consented by the exercise and cancer specialist—a PhD-level postdoctoral fellow with multiple years of experience working with people living with and beyond cancer and held an active exercise trainer certification from the ACSM. …

Relative Risk of Death in Bulgarian Cancer Patients during the Initial Waves of the COVID-19 Pandemic.

BackgroundThe COVID-19 pandemic has led to millions of documented deaths worldwide, with diverse distribution among countries. Surprisingly, Bulgaria, a middle-income European Union member state, ranked highest in COVID-19 mortality. This study aims to assess whether Bulgarian cancer patients experienced a higher relative risk (RR) of death compared to the general Bulgarian population during the pandemic.Materials and methodsData from the Bulgarian National Statistical Institute and the Bulgarian National Cancer Registry were analyzed to estimate monthly RR of death in cancer patients compared

The Ambulatory Medical Assistance (AMA) programme during active-phase treatment in patients with haematological malignancies: A cost-effectiveness analysis.

ContextThe need for patient navigator is growing, and there is a lack of cost evaluation, especially during survivorship.ObjectiveThe objective of this study is to evaluate the cost-effectiveness of an Ambulatory Medical Assistance (AMA) programme in patients with haematological malignancies (HM).DesignA cost-effectiveness analysis of the AMA programme was performed compared to a simulated control arm.SettingAn interventional, single-arm and prospective study was conducted in a French reference haematology-oncology centre between 2016 and 2020.ParticipantsAdult patients were enrolled with hist

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… patient | 48 | Two calls per week for a 6‐month follow‐up | AMA experience Time per call | 10 mn | Average time spent per call with a patient | AMA experience Structure | €100 | Monthly cost | ENC Furnishings | €100 | Monthly cost | Centre estimation Training | €1200 | Cost of training for oncology certification …

Mobilising stakeholders to improve access to state-of-the-art radiotherapy in low- and middle-income countries.

In an ongoing effort to improve access to state-of-the-art radiotherapy in low- and middle-income countries (LMICs), a joint symposium was organised by the non-governmental, non-profit organisation Medical physicists in diaspora for Africa e.V. (MephidA e.V.) in collaboration with the Germany-based Cameroon-German medical doctor's association (Camfomedics e.V.) and the Harvard-based Global Health Catalyst summit. The goal of the symposium was to discuss the technical and structural challenges faced in African LMIC settings, re-evaluate strategies to overcome the shortfall of radiotherapy servi

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… ICT platforms serve a multipurpose of reversing the brain drain paradigm faced by many LMICs, as well as providing a portal for aspiring professionals in LMICs to access training and certification courses. …

Individualized, Single Session Yoga Therapy to Reduce Physical and Emotional Symptoms in Hospitalized Hematological Cancer Patients.

Objective: Inpatient treatment of hematological cancer is among the most physically and mentally arduous cancer treatments, and it is associated with a number of common physical, emotional, and social symptoms that can negatively affect quality of life (QOL) for years following treatment. While treating symptoms during hospitalization holds promise for improving long-term QOL, successful approaches likely require multidisciplinary interventions. In this article, we describe a 4-year effort in program enhancement that incorporated an adjunctive single yoga therapy session during treatment for h

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… In addition to this certification, the yoga therapist for this study has an additional 500 hours of training specific in yoga therapy methods adapted for individuals in treatment or recovery from cancer YCAT program. …

The burden of amyloid light chain amyloidosis on health-related quality of life.

BackgroundLight chain (AL) amyloidosis is a rare disease characterized by misfolded amyloid protein deposits in tissues and vital organs, and little is known about the burden of AL amyloidosis on health-related quality of life. This study aimed to quantify the burden of AL amyloidosis in terms of health-related quality of life in a diverse, community-based sample of AL amyloidosis patients.ResultsThe SF-36v2® Health Survey (SF-36v2), a widely used generic measure of health-related quality of life (using physical and mental summary scales and subscales assessing eight aspects of functioning and