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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)

The role of social networks in prognostic understanding of older adults with advanced cancer.

ObjectivesExplore how older patients utilize their social networks to inform prognostic understanding.MethodsIn a pilot study of adults (≥65 years old) with advanced cancer, 16 patients completed surveys, social network maps, and semi-structured interviews exploring with whom they preferred to communicate about their illness. Interviews were analyzed using open-coding, and codes were categorized into emergent themes. Social network maps and themes were analyzed via mixed-methods social network analysis (MMSNA). Three case examples with diverse network characteristics and communication patterns

Быстрый обзор мер по улучшению ухода за людьми, страдающими множественным склерозом, диабетической ретинопатией и раком легких.

В Соединенных Штатах пациенты, страдающие хроническими заболеваниями, сталкиваются с различиями в показателях здоровья по всему спектру услуг по уходу. Среди пациентов с множественным склерозом, диабетической ретинопатией и раком легких не хватает доказательств, резюмирующих меры по улучшению ухода и сокращению этих различий. Цель этого оперативного обзора литературы заключалась в том, чтобы определить меры, принимаемые пациентами с такими хроническими заболеваниями в целях улучшения состояния здоровья и сокращения неравенства в плане выявления, диагностики, доступа к лечению и специалистам, с

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… Improving Social Cohesion Another SDOH that may be relevant to reducing disparities and which has been shown to decrease mortality is social cohesion, an indicator of the strength of relationships among community members [ 67 ]. … Although no studies were designed with social interventions intended to improve health, some included components that address social cohesion. …

Многофакторный характер принятия репродуктивных решений женщинами с множественным склерозом.

ВВЕДЕНИЕ: Множественный склероз (МС) является хроническим неврологическим заболеванием, которое часто затрагивает женщин в их репродуктивном возрасте и может влиять на намерения в отношении фертильности и решения в области планирования семьи. Цель этого исследования заключалась в выявлении факторов, связанных с репродуктивным выбором женщин с НР, и в изучении роли психологических, социальных и связанных с болезнями переменных в процессе принятия решений о рождаемости. МЕТОДЫ: В период с августа в Греции было проведено перекрестное исследование. 2023 и декабрь 2024, включая 103 Женщины в возрас

Daily living with distress and enrichment: the moral experience of families with ventilator-assisted children at home.

OBJECTIVE: The growing shift toward home care services assumes that "being home is good" and that this is the most desirable option. Although ethical issues in medical decision-making have been examined in numerous contexts, home care decisions for technology-dependent children and the moral dilemmas that this population confronts remain virtually unknown. This study explored the moral dimension of family experience through detailed accounts of life with a child who requires assisted ventilation at home. This study involved an examination of moral phenomena inherent in (1) the individual exper

Important learning points for setting up a dental-oncology service in Ireland.

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Что делают физиотерапевты в борьбе с недержанием мочи у женщин в системе первичной медико-санитарной помощи?

Недержание мочесодержания, определяемое как недобровольная потеря мочи, широко распространено среди женщин и оказывает значительное воздействие на физическое, эмоциональное и социальное благополучие. Несмотря на широкое признание того, что обучение мускулам тазового пола является первым направлением деятельности для легкого и умеренного УИ, роль физиотерапевтов в лечении этого заболевания в рамках системы первичной медико-санитарной помощи (ПМС) по-прежнему недостаточно изучена. Учитывая центральную роль ПМО в системах здравоохранения и преобладание общих и многопрофессиональных групп в этой с

Incivility Is Associated with Burnout and Reduced Compassion Satisfaction: A Mixed-Method Study to Identify Causes of Burnout among Oncology Clinical Research Coordinators.

While oncology clinical research coordinators (CRCs) experience a combination of factors that are thought to put them at increased risk for burnout, very little research has been conducted to understand the risk factors associated with burnout among CRCs. We used a mixed-method approach, including self-report questionnaires to assess burnout and compassion satisfaction, as well as individual and interpersonal variables hypothesized to impact CRC well-being. We also conducted a focus group to gain a more nuanced understanding of coordinators' experiences around burnout, teamwork, resilience, an

Longitudinal Swallowing and Salivary Changes With CLR 131 and Re-Irradiation in Recurrent Head and Neck Cancer.

BACKGROUND: Patients with recurrent head and neck cancer (HNC) often present with severe, persistent dysphagia and xerostomia following prior chemoradiation. Although swallowing impairments and salivary dysfunction have been reported in this population, prior longitudinal studies have not examined changes in salivary composition or how these changes relate to swallowing physiology. PURPOSE: This study characterized longitudinal changes in swallowing and salivary function-including composition-following treatment with CLR 131, a novel tumor-selective radiotherapeutic, combined with external be

Understanding the symptom experience and self-management strategies of adult hematopoietic stem cell transplantation patients during hospitalization: findings from a qualitative longitudinal study.

PurposeThe aim of this study was to explore the symptom experience and self-management strategies of adult hematopoietic stem cell transplantation patients during hospitalization.MethodsThis was a qualitative descriptive study. A heterogeneous sample of 19 patients who underwent hematopoietic stem cell transplantation from May to October 2021 were enrolled in the study. Semi-structured interviews were conducted at four time points during hospitalization, providing a total of 64 interview datasets.ResultsFour themes and 11 subthemes reflecting the symptom experience and self-management strategi

Risk factors associated with suicidal ideation among cancer patients: a systematic review and meta-analysis.

ObjectiveThe objective of this review was to provide a comprehensive summary and analysis of the risk factors associated with suicidal ideation among cancer patients.MethodsThis review adhered to the PICO/S framework and guidelines outlined in the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) framework (PROSPERO CRD42023433639). We searched Web of Science, PubMed, Embase, Scopus, PsycINFO, and Cochrane Library from the establishment date of the databases until June 9, 2023 for observational studies that reveal risk factors associated with suicidal ideation among ca

Perspective recommendations on geriatric support for older adults with multiple myeloma based on challenges faced by a multidisciplinary team.

BACKGROUND: Multiple Myeloma (MM) predominantly affects older adults, with a median diagnosis age of 70 years, posing challenges in management due to frailty, comorbidities, and age-related physiological changes. As the aging population grows, the prevalence of MM in older patients is expected to rise, requiring improved clinical strategies. METHODS: This consensus report outlines a multidisciplinary framework for the identification, geriatric assessment (GA), and management of older adults with MM, emphasizing the role of frailty assessments, such as the IMWG frailty score, in tailoring trea

Интракорпоральное состояние как фактор риска для дисфагии в небольничных пожилых людях: обновленный систематический обзор.

В соответствии с руководящими принципами PRISMA был проведен систематический поиск по базам данных PubMed, Scopus и Cochrane для проведения первоначальных исследований, опубликованных в период с 2015 по 2025 год. В рамках критериев интеграции основное внимание уделялось исследованиям по предметам в возрасте 65 лет и старше, в ходе которых изучалась взаимосвязь между состоянием перорального здоровья и УВ. Методологическое качество оценивалось с использованием контрольного перечня критических оценок ЯБК. Методы анализа и критерии включения были задокументированы в протоколе, опубликованном в Пер

Bridging the gap - Establishing a dental-oncology service in a cancer centre.

Dental disease remains the most common non-communicable disease worldwide. It predisposes patients to significant morbidities following bone modifying agents or radiation therapy to the head and neck. Preventative dental regimes effectively reduce the risk of both medication-related osteonecrosis of the jaw (MRONJ) and osteoradionecrosis (ORN) in these patients. Co-ordination of routine dental care as a component of mainstream oncology treatment optimises long term outcomes for oncology patients. This case series offers insights into patient, institutional and social difficulties that challeng

Navigating isolation- barriers and multidimensional support needs in symptom self-management for HSCT patients within laminar airflow rooms: a descriptive qualitative study.

BACKGROUND: Hematopoietic stem cell transplantation (HSCT) is a crucial therapy for hematological malignancies and other conditions. However, the intensive therapy and required isolation place significant physical and psychological burdens on patients. Although effective symptom self-management during isolation is pivotal, the current efforts are often challenged, leading to distress and feelings of loss of control. Nevertheless, research specifically addressing the self-management needs and barriers faced by patients with HSCT confined to laminar airflow rooms is limited. This study aimed to

Use of Herbal Medicine Is Associated With Late-Stage Presentation in Tanzanian Patients With Cancer: A Survey to Assess the Utilization of and Reasons for the Use of Herbal Medicine.

PurposeIn Tanzania, patients with cancer present late with advanced stages. Among other reasons, the use of herbal medicine (HM) might contribute to delay in diagnosis and treatment. This study aims to understand the utilization of HM and the reasons for its' use.MethodsA semistructured 30-item questionnaire with closed- and open-ended questions was applied to a cohort of patients with cancer at Kilimanjaro Christian Medical Centre. Content analysis was performed for answers to open-ended questions.ResultsThree hundred two patients were interviewed, 50.9% males and 49.1% females. The mean age

A Multi-step Approach to Adapting a Mind-Body Resiliency Intervention for Fear of Cancer Recurrence and Uncertainty in Survivorship (IN FOCUS).

BackgroundFor cancer survivors, there is a paucity of fear of recurrence (FOR) interventions that integrate empirically supported mind-body and psychological skills for managing FOR and are delivered in scalable formats.ObjectiveTo adapt an evidence-based resiliency intervention to address FOR among cancer survivors.MethodsA multidisciplinary team of researchers, clinicians, and patient stakeholders followed an iterative intervention adaptation process (ORBIT). In Step 1, we sought to define key FOR management skills through a literature review and feedback from stakeholders. In Step 2, we int

Residential green spaces and neurodegenerative diseases in middle-aged and older adults: a systematic review and dose-response meta-analysis.

BackgroundThe potential protective role of residential green space against neurodegenerative diseases (NDs) is a topic of growing interest, yet evidence remains inconsistent. This systematic review and meta-analysis aimed to synthesize the current evidence on this association in middle-aged and older adults.MethodsWe searched PubMed, Embase, Web of Science, and the Cochrane Library through March 15, 2025, for observational studies that evaluated the association between objectively measured residential green space and the incidence of NDs in middle-aged and older adults. Risk of bias was assess

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… cohesion, and reducing psychological stress [ 21 , 22 ]. … Streetscape greenery and health: Stress, social cohesion and physical activity as mediators. Soc Sci Med. 2013;94:26–33. 10.1016/j.socscimed.2013.06.030. 70. Banay RF, James P, Hart JE, et al. Greenness and Depression Incidence among Older Women. …

Qualitative exploration of the perceptions of exercise in patients with cancer initiated during chemotherapy: a meta-synthesis.

ObjectiveTo synthesise qualitative literature on (1) the perceptions of patients with cancer of participating in an exercise intervention while undergoing chemotherapy and (2) to inform and guide professionals in oncology and haematology practice.DesignA qualitative meta-synthesis based on Noblit and Hare's seven-step meta-ethnography.Data sourcesSix electronic databases: Cochrane Central Register of Controlled Trials (CENTRAL), CINAHL, EMBASE, PubMed, SCI-Expanded-SSCI and Scopus (final search June 2022) were used to identify qualitative literature containing individual or focus group intervi

Библиометрический анализ исследований по проблемам инвалидности в Саудовской Аравии: меняющиеся тенденции, тематическое картирование и пробелы.

ЦЕЛИ: Определение ключевых тенденций и влиятельных авторов и учреждений, составление тематических карт и определение последних изменений и пробелов в исследованиях по проблемам инвалидности в Саудовской Аравии. МЕТОДЫ: Исследование было начато в июне 2024 года, и данные были проанализированы в июле 2024 года в Аль-Ахсе, Саудовская Аравия. В ходе анализа использовались библиометрические методы, такие, как библиометрическое сцепление и тематическое картирование с использованием VOSviewer и RStudio с пакетом Bibliometrix. Результаты: Библиометрический анализ выявил в общей сложности 3080 публикац