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Fit & strong! Promotes physical activity and well-being in older cancer survivors.

IntroductionPhysical activity reduces fatigue and depression while improving quality of life in cancer survivors. Exercise is generally considered safe and is recommended to survivors of all ages. Despite the high prevalence of cancer in the elderly, few studies address physical activity interventions targeting this older population. Fit & Strong! is an evidence-based physical activity program shown to improve level of physical activity, exercise-self-efficacy, and mood in older adults with osteoarthritis. This study tests the feasibility and short-term impact of the Fit & Strong! exercise pro

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… In addition to this training, our two instructors held certifications in Chronic Disease Self-Management (Stanford CDSMP). They were experienced in leading group discussion of health behaviors among adults, but our instructors had limited experience leading group exercise activities. …

Predicting pneumonia mortality using CURB-65, PSI, and patient characteristics in patients presenting to the emergency department of a comprehensive cancer center.

The prognostic accuracy of the CURB-65 criteria and pneumonia severity index (PSI) in immunocompromised cancer patients with pneumonia is unknown. We sought to determine whether CURB-65 and PSI predict 28-day mortality in cancer patients with pneumonia, and identify other factors that predispose cancer patients with pneumonia to a high mortality risk. We assessed sensitivities, specificities, predictive values, and areas under the receiver operating curve area under the curve (AUC) of the CURB-65 and PSI in predicting the 28-day mortality of cancer patients presenting to our institution's emer

Exploring Affordable Curative Therapy for Sickle Cell Disease in Africa: A Comprehensive Overview.

The practical aspects of developing curative treatments for sickle cell disease (SCD) in Africa, such as gene therapy and hematopoietic stem cell transplantation, involve strengthening healthcare infrastructure, training healthcare professionals, establishing regional treatment centers, and creating national SCD programs. The costs associated with gene therapy and stem cell transplants can be prohibitive, especially in low- and middle-income countries. Strategies to address affordability, including local manufacturing, government funding, and partnerships with global health agencies, are essen

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… advice over the years (e.g., 5‐year contract/Memorandum of Understanding) with experienced alloHCT programs in other countries Ideally, automate compliance measurement tools to avoid errors, which can result in substantial cost savings Accreditation | The goal is to establish international standards for certification … the standards for an HSCT program in an HIC is costly | LMIC HSCT programs should report transplant activities to both local and global registries Both FACT‐JACIE and blood bank accreditation organizations (e.g., AABB) have basic and optimal standards for accreditation The goal should be to obtain certification …

Phase Ib, multicentre, open-label, dose-escalation study to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of subcutaneously administered mosunetuzumab in participants with systemic lupus erythematosus.

OBJECTIVE: To determine the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of subcutaneously administered mosunetuzumab, a CD20xCD3 T-cell-engaging bispecific antibody, in participants with systemic lupus erythematosus (SLE). METHODS: This phase Ib, multicentre, open-label, dose-escalation study enrolled 15 participants diagnosed with active autoantibody-positive SLE, demonstrated by an SLE Disease Activity Index 2000 (SLEDAI-2K) score ≥4 at screening. The study included two fixed-dosing dose-finding cohorts (1.6 mg or 5 mg of mosunetuzumab on day 1) and three step-up d

Воздействие подготовки пилатесов в сочетании с вибрацией всего тела на балансе и мобильностью у людей с множественным склерозом: однослепые случайные клинические испытания.

ЦЕЛИ: Данное исследование направлено на изучение воздействия подготовки пилатесов в сочетании с вибрацией всего тела (WBV) на баланс, функциональную мобильность, стойкость и мощность основных мышц, прочность нижней конечности, эффективность верхней конечности и усталость у людей с множественным склерозом. ПАТИЕНТЫ И МЕТОДЫ: Это произвольное контролируемое испытание было проведено в период с декабря 2023 и сентябрь 2024. Thirty-four Участники9 мужского пола; 25 женщины; средний возраст: 36.7±12.2 годы; диапазон, 20 в адрес 65 в год) были включены в исследование и в произвольном порядке two груп

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… All sessions were carried out by a physiotherapist with Pilates certification and experience in neurological physiotherapy. The Pilates training sessions lasted approximately 60 min. …

Изучение перспектив потребителей услуг в области здравоохранения на пути к интеграции питания в рутинную помощь с множественным склерозом: качественное исследование.

КОЛИЧЕСТВО: Люди, страдающие множественным склерозом, рассчитывают получить информацию о питании от медицинских работников (HCP), с тем чтобы самостоятельно справиться со своим заболеванием. Цель этого исследования заключалась в изучении опыта ПМСО в области обеспечения ухода, связанного с питанием, и в обеспечении понимания их потребностей и предпочтений в отношении того, каким образом его можно было бы обеспечить в рамках обычного ухода. МЕТОДЫ: Это качественное исследование, опирающееся на интерпретационный феноменологический подход, было проведено с использованием онлайновых целевых групп

Множественный склероз и кишечная микробиота: Lachnospiraceae из подлеца близнецов MS вызывает заболевание, похожее на MS, в бесфинансовом трансгенном мыше-Непредвзятом функциональном исследовании.

Мы разработали двухуровневую стратегию, направленную на выявление кишечных бактерий, функционально связанных с развитием множественного склероза (MS). Во-первых, мы сравнили кишечные микробные профили в группе из 81 монозиготных близнецов, которые расходятся с MS. Такой подход позволил свести к минимуму смешанное воздействие генетических и ранних экологических факторов и выявил более 50 различных таксов, при этом большинство повышенных таксонов внутри фирм. К ним относятся такса, ранее описываемая как ассоциированная с MS (Anaerotruncus colihominis и Eisenbergiella Tayi), а также вновь выявлен

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… The MS TWIN STUDY including all procedures, investigations, biobanking, and patient consent has been approved by the local ethics committee of the University of Munich, Germany, project certification number MS TWIN STUDY 267-13, MS TWIN STUDY with colonoscopy: Project 567-16. …

Multiple myeloma: unplanned diagnostic pathways and association with risk factors and survival - a nationwide register-based cohort study in Denmark.

BackgroundMultiple myeloma often presents with vague and non-specific symptoms. Many patients are diagnosed in unplanned rather than elective (planned) diagnostic pathways. This study investigates the diagnosis of multiple myeloma in unplanned pathways and the association with patient characteristics, disease profile, and survival.MethodsWe conducted a nationwide register-based study, including all patients diagnosed with multiple myeloma in Denmark in 2014-2018. Patients were categorised as diagnosed in an unplanned pathway if registered with an acute admission within 30 days prior to the mul

CAR T cell therapy for refractory pediatric systemic lupus erythematosus: a new era of hope?

Systemic lupus erythematosus (SLE) is a chronic autoimmune condition that can affect multiple organ systems and is heterogenous in its presentation and response to therapy. When diagnosed in childhood, SLE is associated with increased morbidity and mortality compared to adult SLE, often requiring substantial immunosuppression with the risk of significant side effects. There remains a significant unmet need for new therapies that can improve disease control and reduce glucocorticoid and other toxic medication exposure for patients with severe or refractory disease. The pathogenesis of SLE invol

Improving Access to Patient Education: an Audit of Extant Educational Materials.

Health information exchange between provider and patient, along with patient participation in their care (self-management), can lead to improved health outcomes. A step towards achieving better outcomes is the systematic provision of education materials to patients and caregivers throughout the cancer trajectory. An audit of patient education (PE) materials was conducted at a cancer center to identify content gaps and determine areas for future development. The PE audit was conducted in all outpatient clinics (13) and clinic-specific PE materials were identified, reviewed, and categorized by c

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… Papadakos J D’souza A Masse A Boyko S Clarke S Giuliani M MacKinnon K McBain S McCallum M MacVinnie J Papadakos T Development of a professional certification in cancer patient education J Cancer Educ 2019 34 4 749 754 10.1007/s13187-018-1367-z 29675654 6. …

Patients' perspectives on the derivation and use of organoids.

Organoid research is enhancing understanding of human development and diseases as well as aiding in medication development and selection, raising hopes for even more future therapeutic options. Nevertheless, this work raises important ethical issues and there is a paucity of data regarding patients' perspectives on them. We report on 60 interviews with adult patients or parents of pediatric patients from diverse disease populations who receive medical care at a major academic research institution in the United States. Interviewees expressed broad support for organoid development and use. Howev

Using the Computer-based Health Evaluation System (CHES) to Support Self-management of Symptoms and Functional Health: Evaluation of Hematological Patient Use of a Web-Based Patient Portal.

BACKGROUND: Patient portals offer the possibility to assess patient-reported outcome measures (PROMs) remotely, and first evidence has demonstrated their potential benefits. OBJECTIVE: In this study, we evaluated patient use of a web-based patient portal that provides patient information and allows online completion of PROMs. A particular focus was on patient motivation for (not) using the portal. The portal was developed to supplement routine monitoring at the Department of Internal Medicine V in Innsbruck. METHODS: We included patients with multiple myeloma and chronic lymphocytic leukemia

Trends in Incidence and Mortality of Waldenström Macroglobulinemia: A Population-Based Study.

Background: The incidence of Waldenström macroglobulinemia (WM) has increased in certain groups over several decades in the United States. It is unclear whether the increasing incidence is associated with mortality trends. Methods: The incidence and incidence-based mortality (IBM) rates were obtained from the Surveillance, Epidemiology, and End Results (SEER) database (1980-2016) with SEER*Stat software. The secular trends stratified by demographic characteristics were analyzed by joinpoint regression. Results: The incidence of WM showed an initial rapid increase from 1980 to 1993 {annual perc

Chronic obstructive pulmonary disease with short-acting inhaled pharmacotherapy increases the risk of prostate cancer: A two-stage database approach.

BACKGROUND: Patients with chronic obstructive pulmonary disease (COPD) are at a higher risk of many types of cancer. However, specific investigation of the risk of prostate cancer and the influence of COPD pharmacotherapy in patients with COPD is lacking. This study investigated the risk and influence of COPD pharmacotherapy on risk of prostate cancer in patients with COPD. METHODS: This retrospective cohort study used data from Taiwan's Longitudinal Health Insurance Database 2005 (LHID2005). The study cohort comprised COPD patients who received treatment between 2004 and 2008, and who were i

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… For catastrophic illness certification, in addition to clinical presentation and image evaluation, the diagnosis of prostate cancer depends on pathological proof. Thus, the diagnostic accuracy of prostate cancer is reliable in this study. …

Rapid health transition in China, 1990-2010: findings from the Global Burden of Disease Study 2010.

BACKGROUND: China has undergone rapid demographic and epidemiological changes in the past few decades, including striking declines in fertility and child mortality and increases in life expectancy at birth. Popular discontent with the health system has led to major reforms. To help inform these reforms, we did a comprehensive assessment of disease burden in China, how it changed between 1990 and 2010, and how China's health burden compares with other nations. METHODS: We used results of the Global Burden of Diseases, Injuries, and Risk Factors Study 2010 (GBD 2010) for 1990 and 2010 for China

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… Several data systems provide substantial detail about levels and trends in health in China, including various national surveys of health, civil registration, medical certification of causes of death in some cities and counties, 15 the Disease Surveillance Points system, 16 a sophisticated infectious … Garbage codes are causes of death that should not be identified as underlying causes of death but have been entered as the underlying cause of death on death certificates. Classic examples of garbage codes include senility or cardiopulmonary arrest. …

Clinical Posters From JADPRO Live 2022

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… Collaboration among these fellowships in the future may lead to standardization, pan-accreditation, and hematology/oncology board certification for both NPs and PAs. …

Availability of secondary healthcare data for conducting pharmacoepidemiology studies in Colombia: A systematic review.

Real-world evidence (RWE) is emerging as a fundamental component of the post-marketing evaluation of medicinal products. Even though the focus on RWE studies has increased in Colombia, the availability of secondary data sources to perform this type of research is not well documented. Thus, we aimed at identifying and characterizing secondary data sources available in Colombia. We performed a systematic literature review on PubMed, EMBASE, and VHL using a combination of controlled vocabulary and keywords for the concepts of electronic health records, epidemiologic studies and Colombia. A total

Rolling contact fatigue dataset for AISI 52100 bearing steel balls under calcium grease lubrication.

Rolling contact fatigue (RCF) is a dominant failure mechanism in bearings; however, open-access datasets analyzing RCF under varying lubrication conditions remain scarce. This study aims to address this problem, in which AISI 52100 bearing steel balls were tested using a four-ball tribometer according to IP 300 standard. Three calcium-soap-thickened greases of National Lubricating Grease Institute (NLGI) grades 0, 00, and 000 were used and each was formulated with extreme-pressure additives. A total of 63 trials (21 per grade) were conducted at 1470 rpm, under a peak axial load of 5739 N. The

Projection of age-standardised mortality rates for 23 cancer types in India: a nationwide projection until 2030 using autoregressive integrated moving average (ARIMA) models.

ObjectivesTo project the future burden of cancer mortality in India by forecasting age-standardised mortality rates (ASMRs) for 23 major cancer types up to the year 2030, providing crucial evidence for long-term health planning and resource allocation.DesignA retrospective analysis and time-series forecasting study. Participants Aggregated, national-level cancer mortality data for the population of India from 2000 to 2019 were used.ParticipantsAggregated, national-level cancer mortality data for the population of India from 2000 to 2019 were used.MethodsAnnual ASMR data for 23 cancer types wer

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… Limitations of the study Accurate recording of cancer mortality in India is hindered by several limitations, primarily due to the absence of a nationwide cancer registration system and incomplete or imprecise medical cause-of-death certifications. 6 7 While these are the best available data, their accuracy …

Patterns of multimorbidity in older adults with multiple myeloma: An analysis of SEER-Medicare.

OBJECTIVE: Multimorbidity influences the management of symptoms, treatment, and health outcomes for older adults with multiple myeloma. Our study characterized patient profiles defined by discrete chronic condition patterns and examined the distribution of their sociodemographic factors in older adults at time of diagnosis with multiple myeloma. METHODS: Using the Surveillance, Epidemiology and End Results (SEER) Program database linked with Medicare insurance claims (2007-2017), we examined 11,926 individuals diagnosed with multiple myeloma at age ≥ 65 years. Hierarchical cluster analysis wa