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Supportive Care and Symptom Management for Patients With Immunoglobulin Light Chain (AL) Amyloidosis.

Immunoglobulin light chain (AL) amyloidosis is a disorder of clonal plasma cells characterized by deposition of amyloid fibrils in a variety of tissues, leading to end-organ injury. Renal or cardiac involvement is most common, though any organ outside the central nervous system can develop amyloid deposition, and symptomatic presentations may consequently vary. The variability and subtlety of initial clinical presentations may contribute to delayed diagnoses, and organ involvement is often quite advanced and symptomatic by the time a diagnosis is established. Additionally, while organ function

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… Potential adverse effects include anxiety, depression, gastrointestinal upset, urinary retention and, perhaps most problematically, supine hypertension ( 58 ). … Pyridostigmine may have additional symptomatic benefits in those with autonomic neuropathy via improvement in urinary retention or constipation related to gastrointestinal dysmotility. …

Multidisciplinary Approach to Patients With Metastatic Spinal Cord Compression: A Diagnostic Therapeutic Algorithm to Improve the Neurological Outcome.

INTRODUCTION: The morbidity associated with metastatic spinal disease is significant because of spinal cord and/or nerve root compression. The purpose of this paper is to define a diagnostic-therapeutic path for patients with vertebral metastases and from this path to build an algorithm to reduce the devastating consequences of spinal cord compression. MATERIALS AND METHODS: The algorithm is born from the experience of a primary care center. A spine surgeon, an emergency room (ER) physician, a neuroradiologist, a radiation oncologist, and an oncologist form the multidisciplinary team. The ER

Воздействие кетогенного рациона питания на качество жизни взрослых людей с хроническими заболеваниями: систематический обзор случайных контролируемых испытаний.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Хронические заболевания отрицательно сказываются на качестве жизни (КОЛ). Кетогенное питание (КД) может улучшить КОЛ. ЦЕЛЬ: Цель этого систематического обзора заключалась в обобщении имеющихся данных о выборочных контролируемых испытаниях (РСТ) для определения воздействия KD на QOL у взрослых, страдающих хроническими заболеваниями. МЕТОДЫ: Представление докладов осуществлялось в соответствии с руководящими принципами ПРИСМА. Мы включали в себя выборочные контролируемые испытания (РСТ), проведенные на взрослых с хроническими заболеваниями, включая группу вмешательства, ко

Nurse self-evaluation of assessment of chemotherapy-induced peripheral neuropathy in patients with cancer.

The focus of this study was to assess the feasibility and clinical implementation of a standardized assessment for chemotherapy-induced peripheral neuropathy (CIPN) by registered nurses in patients undergoing neurotoxic chemotherapy. A total of 24 registered nurses from 4 different institutions were enrolled into the study. A pre- and posttest design was used to assess changes in nurses' attitudes, knowledge, and perceived skill in CIPN assessment. Using selected data collection instruments, nurses performed standardized assessments during the course of chemotherapy treatments. Patient-reporte

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… Autonomic symptoms such as urinary retention, constipation, alterations in blood pressure, and sexual dysfunction can be experienced. …

Первая стадия испытания иополосина I 131 и Dexametasone в пациентах с повторной релапсированной/отправленной миеломой.

Справочная информация/цели: Пациенты, страдающие рецидивом/отторжением множественных миелом (RRMM), имеют плохие результаты в плане выживания и ограниченные возможности лечения. Все более широкое использование многоагентной терапии для более ранних направлений лечения и новых классов лекарственных препаратов, включая целевые агенты BCMA в последующих направлениях терапии, обусловило необходимость в новаторских платформах лечения у пациентов, которые вновь вернулись к этим стандартным подходам к уходу или отстали от них. Иопофосин I 131 a 131iodid (131I)-фосфолипидный спаривание, использующее с

Mini-Review: Current Bladder Cancer Treatment-The Need for Improvement.

Bladder cancer is the tenth most common cancer and is a significant burden on health care services worldwide, as it is one of the most costly cancers to treat per patient. This expense is due to the extensive treatment and follow-ups that occur with costly and invasive procedures. Improvement in both treatment options and the quality of life these interventions offer has not progressed at the rates of other cancers, and new alternatives are desperately needed to ease the burden. A more modern approach needs to be taken, with urinary biomarkers being a positive step in making treatments more pa

Синдром неадекватного антидиерезного вторичного воздействия на миелому: доклад о деле и обзор литературы.

Синдром неадекватного антидиеразиса (SIAD) связан с различными заболеваниями. Однако, насколько нам известно, лишь несколько исследований сообщили о том, что в качестве потенциальной причины СИАД можно использовать множественные миеломы (ММ). Мы сообщаем о случае, когда гипонатремия была основным клиническим проявлением, диагностированным SIAD и впоследствии подтвержденным как множественная миелома. После антимиеломной терапии гипонатремия была успешно исправлена после получения гематологической реакции, классифицированной как очень хорошая частичная реакция (VGPR). Это дело способствует редко

Spinal cord infarction attributed to SARS-CoV-2, with post-acute sequelae of COVID-19: A case report.

BACKGROUND: While stroke and lower extremity venous thromboemboli have been commonly reported following acute infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), spinal cord infarction or ischemia has been extremely rare. Findings of long coronavirus disease (COVID) in this select population have not been studied. CASE SUMMARY: We present the case of a 70-year-old female with sudden onset of trunk and lower extremity sensorimotor loss due to spinal cord infarction, attributed to acute infection with SARS-CoV-2. Diagnostic work up confirmed a T3 complete (ASIA impairme

Chronic Kidney Disease: Strategies to Retard Progression.

Chronic kidney disease (CKD), defined as the presence of irreversible structural or functional kidney damages, increases the risk of poor outcomes due to its association with multiple complications, including altered mineral metabolism, anemia, metabolic acidosis, and increased cardiovascular events. The mainstay of treatments for CKD lies in the prevention of the development and progression of CKD as well as its complications. Due to the heterogeneous origins and the uncertainty in the pathogenesis of CKD, efficacious therapies for CKD remain challenging. In this review, we focus on the follo

Нейрогенная желудочно-кишечная, мочевая и сексуальная дисфункция при множественном склерозе: многодисциплинарная основа для клинической практики.

Нейрогенные желудочно-кишечные, мочевые и сексуальные симптомы широко распространены у людей с множественным склерозом и существенно ухудшают качество жизни, повседневное функционирование и психосоциальное благополучие. Несмотря на их частотность и клиническую актуальность, управление по-прежнему носит разрозненный характер по различным специальностям, тесная взаимосвязь между этими симптомами зачастую игнорируется, а у клинических работников отсутствует прагматическая основа, адаптированная к различным условиям здравоохранения. Этот обзор преобразует нынешние данные в прагматичную модель уход

Low-dose daratumumab and bortezomib for the treatment of proliferative glomerulonephritis with monoclonal immunoglobulin deposits: a case report.

BACKGROUND: Proliferative glomerulonephritis with monoclonal immunoglobulin deposits (PGNMID) is an exceptionally rare glomerular disease, accounting for only 0.17-3.7% of all renal biopsies, and no consensus-based treatment algo-rithm has been established. Although daratumumab, a humanized anti-CD38 monoclonal antibody, has shown promising efficacy in PGNMID, the existing evidence is limited to small case series using standard-dose regimens (16 mg/kg). Critically, data on reduced-dose daratumumab in elderly patients with CyBorD-refractory disease and multiple comorbidities remain scarce. This

Многоцелевые лекарственные препараты: новые 2025 и послерыночного контроля за безопасностью наркотиков, 2022-2024.

Полифармакология предназначена для развития соединений, действующих по крайней мере на two целевые показатели (многоцелевые лиганды, МТДЛ). В 2025, Европейское агентство по медицине (ЕМА), 38 наркотиков, и 11 из них были MTDL. Большинство из них - антитела-наркотики, биконкретные антитела или ингибиторы киназы, все из которых указаны для лечения опухолей, включая датопотамаб дерукстекан (гормон-позитивный рецептор, HER2-negative Рак молочной железы), тизотумаб ведотин (сокращенная шейная карцинома), линвосельтамб (четвёртая линия лечения множественной миеломы) и эрдафитиниб (сокращенная уротел

Current options for the treatment of Paget's disease of the bone.

Paget's disease of bone (PDB) is a chronic bone remodelling disorder characterized by increased osteoclast-mediated bone resorption, with subsequent compensatory increases in new bone formation, resulting in a disorganized mosaic of woven and lamellar bone at affected skeletal sites. This disease is most often asymptomatic but can be associated with bone pain or deformity, fractures, secondary arthritis, neurological complications, deafness, contributing to substantial morbidity and reduced quality of life. Neoplastic degeneration of pagetic bone is a relatively rare event, occurring with an i

Vitamin C-Sources, Physiological Role, Kinetics, Deficiency, Use, Toxicity, and Determination.

Vitamin C (L-ascorbic acid) has been known as an antioxidant for most people. However, its physiological role is much larger and encompasses very different processes ranging from facilitation of iron absorption through involvement in hormones and carnitine synthesis for important roles in epigenetic processes. Contrarily, high doses act as a pro-oxidant than an anti-oxidant. This may also be the reason why plasma levels are meticulously regulated on the level of absorption and excretion in the kidney. Interestingly, most cells contain vitamin C in millimolar concentrations, which is much highe

Представление результатов анализа диабетических осложнений с головы до ног: всеобъемлющий радиологический обзор.

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… Predisposing factors include DM, urinary catheterization, neurogenic bladder, urinary retention, recurrent urinary tract infections, immunosuppression, and chemotherapy [ 48 ]. The most common causative organisms are Escherichia coli and Klebsiella pneumoniae [ 12 , 48 ]. …

Adverse drug reaction profile of microtubule-damaging antineoplastic drugs: A focused pharmacovigilance study in India.

ObjectivesThe aim of the study was to analyze the adverse drug reaction (ADR) profile of microtubule-damaging antineoplastic drugs (taxanes and vinca alkaloids) and to look for unexpected ADRs among the local population. Focused study on these drugs, rampantly used in oncology department for a wide variety of tumors including early and advanced malignancies, would enable better treatment care by physicians.Materials and methodsData on ADRs were collected from the cancer patients belonging to both gender and of all ages, on taxanes- or vinca-based cancer chemotherapy and reported in the Indian

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… The documented ADRs among vinca alkaloids are alopecia, peripheral neuropathy, constipation, obstipation, abdominal cramps, vomiting, diarrhea, paralytic ileus, urinary retention, polyuria, dysuria, syndrome of inappropriate antidiuretic hormone secretion (SIADH), weight loss, fever, stomatitis, headache …

Comprehensive Insights into Metastasis-Associated Spinal Cord Compression: Pathophysiology, Diagnosis, Treatment, and Prognosis: A State-of-the-Art Systematic Review

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… Symptoms like difficulty climbing stairs, muscle stiffness, and urinary retention or constipation should prompt immediate attention for potential decompression [ 7 ]. 3.3. …

Exploring the Molecular Mechanisms by Which DEHP Promotes the Occurrence and Progression of Kidney Stones Based on Network Toxicology and Experimental Validation.

BACKGROUND: The global burden of kidney stones is increasing, while di(2-ethylhexyl) phthalate (DEHP), a widespread plasticizer and endocrine-disrupting pollutant, has been implicated as a potential environmental risk factor. This study investigated the mechanisms by which DEHP may aggravate calcium oxalate kidney stones through network toxicology, computational analyses, and experimental validation. METHODS: DEHP- and kidney stone-related targets were retrieved from six databases. Shared targets were analyzed using protein-protein interaction networks and Gene Ontology and Kyoto Encyclopedia

Плазма и вицеральный орган Kynurenin Metabolites Коррелат в Multical Sclerosis Cuprizon Animal Model.

Модель нескольких склерозов (MS) капризона (CPZ) является прекрасной для изучения молекулярных различий, связанных с ущербом, причиненным отравлением. Метаболические различия в кинуреньиновом пути (КП) разложения триптофана (TRP) наблюдаются как в MS, так и в модели мыши CPZ. Наша цель состояла в том, чтобы проанализировать кинуреньин, серотонин и индоловые пути деградации ТРП на периферии, в нейродегенеративных процессах воспаления. В нашем исследовании мыши питались 0,2% токсина CPZ в течение 5 недель. Мы изучили метаболиты на трех путях разрушения ТРП в моче, плазме и соответствующих висцер

Post hip fracture orthogeriatric care-a Canadian position paper addressing challenges in care and strategies to meet quality indicators.

INTRODUCTION: Osteoporosis is a major disease state associated with significant morbidity, mortality, and health care costs. Less than half of the individuals sustaining a low energy hip fracture are diagnosed and treated for the underlying osteoporosis. OBJECTIVE: A multidisciplinary Canadian hip fracture working group has developed practical recommendations to meet Canadian quality indicators in post hip fracture care. METHODS: A comprehensive narrative review was conducted to identify and synthesize key articles on post hip fracture orthogeriatric care for each of the individual sections

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… -Constipation -Urinary retention Hip fracture patients should be screened for delirium at admission and throughout the hospital stay as an important step in delirium management is early detection and prevention [ 58 ]. … Urinary retention is not uncommon with the addition of iron, calcium, decreased mobility, and constipation—consider post-void residuals if patient is not voiding, has delirium, and/or constipation. Fluid balance assessment Changes in fluid balance are common post-operatively. …