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Interplay between mobility, social participation, and symptom burden in advanced lung cancer

PURPOSE: Advanced non-small cell lung cancer (NSCLC) is associated with a high symptom burden that negatively impacts daily functioning and quality of life. A better understanding of the time course and relationships between these constructs can help tailor rehabilitation interventions in the context of disease progression. The objectives were to describe and compare the trajectories in mobility, participation, and symptom burden and to assess associations and explore predictors of mobility change. METHODS: Secondary data analysis of a longitudinal cohort study of 110 participants with NSCLC.

Профилактические преимущества фармакодинамики GLP-1 Агонисты рецепторов и ингибиторы SGLT2 по нейродегенеративным заболеваниям: данные сетевого метаанализа.

Глукагон, похожий на глюкагон peptide-1 (В тыс.GLP-1) рецепторные агонисты и котранспортер с глюкозой натрия 2 (SGLT2) ингибиторы представляют собой новое поколение антигипергликемических агентов, которые действуют с помощью механизмов, отличных от традиционных методов лечения диабета. Помимо своего метаболического воздействия, эти препараты продемонстрировали нейрозащитные свойства в ходе предклинических исследований. Хотя в ходе клинических испытаний изучался их терапевтический потенциал в установленных нейродегенеративных условиях, их роль в профилактике заболеваний остается неясной. Мы про

Моделирование использования первой линии Daratumumab для новых диагностированных, трансплантированных, не отвечающих установленным требованиям, множественных миелом: анализ эффективности затрат и рисков для работников системы здравоохранения.

СПРАВОЧНАЯ ИНФОРМАЦИЯ И ЦЕЛЬ: Это исследование было направлено на оценку эффективности затрат two Режимы, рассматриваемые в качестве стандарта для лечения недавно диагностированной, сносимой трансплантацией множественной миеломы в Сингапуре:1) Даратумумаб, линалидомид и дексаметасон и ()2Бортезомиб, линалидомид и дексаметасон. Кроме того, она направлена на изучение потенциальных стратегий регулирования неопределенности при принятии решений и снижения финансового риска.МЕТОДЫ: Анализ эффективности затрат с точки зрения системы здравоохранения был проведен с использованием модели раздельного выж

Patient perceptions of copay card utilization and policies.

BackgroundCopay cards are intended to mitigate patient out-of-pocket (OOP) expenses. This qualitative, exploratory focus group study aimed to capture patient perceptions of copay cards and copay adjustment programs (CAPs; insurers' accumulator and maximizer policies), which redirect the copay card utilization benefits intended for patients' OOP expenses.MethodsPatients with chronic conditions were recruited through Janssen's Patient Engagement Research Council program. They completed a survey and attended a live virtual session to provide feedback on copay cards.ResultsAmong 33 participants (m

The State of Obesity in Kansas: A Community Based Approach to Chronic Care Management.

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… the community at large. 6 Recreation centers, like the Greater Wichita YMCA, have a variety of classes that focus on nutrition counseling, cooking, and personal and group fitness. 79 Other community organizations can promote walking and running by local distance walks/runs, which often support local charities …

Treatment Decision Making at Diagnosis for Children Presenting With Advanced Cancer in Low- and Middle-Income Countries.

PurposeAlthough most children diagnosed with cancer live in low- and middle-income countries (LMICs), research exploring decision making in these settings remains sparse. When children present with advanced cancer in LMICs, local centers may lack resources to provide treatment required to achieve cure. Existing treatment guidelines often do not account for contextual and resource variations influencing decision making. This qualitative study sought to understand physician approaches to treatment decision making for children presenting with advanced cancer at diagnosis in LMICs.MethodsSemistruc

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… Supported by the American Lebanese Syrian Associated Charities (ALSAC). Contributor Information on behalf of the CATALYST Advisory Group: CATALYST Advisory Group, Justin N. Baker , Mae Concepcion J. Dolendo , Diego Figueredo , Lisa M. …

Patient Perspectives on Health Insurance Design: A Mixed-Methods Analysis.

There remains a persistent lack of patient-centered evidence on insurance reform and real-world experiences of patients with chronic disease. This study gathered insights around insurance design from chronic disease beneficiaries. This mixed-methods analysis comprised an online survey and virtual focus group sessions (August to December 2023) involving US residents with chronic disease and health insurance. Patients' perspectives on insurance design were explored. Survey data were analyzed descriptively. Key themes were identified from focus group transcripts and direct observations. In total,

General population norms for the EQ-5D-3 L in Norway: comparison of postal and web surveys.

BackgroundThe EQ-5D-3 L instrument is a standardized questionnaire which was developed as a simple, generic measure of health for clinical and economic appraisal. To aid in the interpretation, scores are often compared with a normative group. The objectives of this study were 1) to provide population norms for the EQ-5D-3 L for Norway, and 2) to compare scores from postal and web surveys.MethodsWe conducted two surveys in samples that were aimed to be representative of the Norwegian general population: 1) a postal survey (n = 5000) and 2) a panel study with electronic data collection (n = 1936

Унификация одиссеи: искусственный интеллект для диагностирования и лечения редких заболеваний.

Подытожить текущие проблемы в диагностике и лечении редких заболеваний (РД), осветить последние достижения в области искусственного интеллекта (АИ) для РД и предложить модель будущего состояния лечения пациентов РД. Многодисциплинарный экспертный обзор с кратким изложением современных практических задач и мер по ограничению ставок в области РД-клиентов с учетом ключевых клинических и исследовательских соображений в отношении нормативных и экономических ограничений. 10,000 известные РД оказывают коллективное воздействие 1 В 10 Американцы, в целом 30 million Люди. Ежегодно на РД приходится свыше

Communicating cancer treatment with pictogram-based timeline visualizations.

ObjectiveThis study evaluated the legibility, comprehension, and clinical usability of visual timelines for communicating cancer treatment paths. We examined how these visual aids enhance participants' and patients' understanding of their treatment plans.Materials and methodsThe study included 2 online surveys and 1 in-person survey with hematology cancer patients. The online surveys involved 306 and 160 participants, respectively, while the clinical evaluation included 30 patients (11 re-surveyed) and 24 medical doctors. Participants were assessed on their ability to understand treatment path

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… In existing public information from national cancer institutes and cancer charities in the United States, United Kingdom, and Germany treatment timeline visualizations 38 were scarce in the text-heavy brochures, and mostly limited to photos and anatomical illustrations ( Table S1 ). …

Prevalence and clinicopathological characteristics of de novo metastatic cancer at a major radiotherapy centre in West Africa: a cross-sectional study.

BackgroundCancer is a major public health challenge in West Africa, with a significant proportion of cancer-related deaths attributed to distant metastasis. De novo metastatic cancer (DnMC), where metastasis is detected at diagnosis, presents considerable therapeutic challenges, particularly in limited-resource settings where novel treatments are often unavailable and/or unaffordable.AimTo determine the prevalence, incidence and clinicopathological characteristics of patients diagnosed with DnMC at a major radiotherapy center in West Africa.MethodsThis was a single-institution-based quantitati

The acceptability of using wearable electronic devices to monitor physical activity of patients with Multiple Myeloma undergoing treatment: a systematic review.

INTRODUCTION: Multiple myeloma (MM) is diagnosed in 6,000 people in the UK yearly. A performance status measure, based on the patients' reported level of physical activity, is used to assess patients' fitness for treatment. This systematic review aims to explore the current evidence for the acceptability of using wearable devices in patients treated for MM to measure physical activity directly. METHODS: Three databases were searched (MEDLINE, EMBASE and CINAHL) up until 7th September 2023. Prospective studies using wearable devices to monitor physical activity in patients on treatment for MM

The Therapeutic Potential of Imidazole or Quinone-Based Compounds as Radiosensitisers in Combination with Radiotherapy for the Treatment of Head and Neck Squamous Cell Carcinoma.

The addition of platinum chemotherapy to primary radiotherapy (chemoradiation) improves survival outcomes for patients with head and neck squamous cell carcinoma (HNSCC), but it carries a high incidence of acute and long-term treatment-related complications, resulting in a poor quality of life. In addition, patients with significant co-morbidities, or older patients, cannot tolerate or do not benefit from concurrent chemoradiation. These patients are often treated with radiotherapy alone resulting in poor locoregional control and worse survival outcomes. Thus, there is an urgent need to assess

Health-related quality of life dynamics: modeling insights from immunotherapy.

BackgroundUnderstanding health-related quality of life (HRQoL) dynamics is essential for assessing and improving treatment experiences; however, clinical and observational studies struggle to capture their full complexity. We use simulation modeling and the case of Chimeric Antigen Receptor T-cell therapy-a type of cancer immunotherapy that can prolong survival, but carries life-threatening risks-to study HRQoL dynamics.MethodsWe developed an exploratory system dynamics model with mathematical equations and parameter values informed by literature and expert insights. We refined its feedback st

Core Competencies for Serious Illness Conversations: An Integrative Systematic Review.

Objective: The Serious Illness Care Program was developed to support goals and values discussions between seriously ill patients and their clinicians. The core competencies, that is, the essential clinical conversation skills that are described as requisite for effective serious illness conversations (SICs) in practice, have not yet been explicated. This integrative systematic review aimed to identify core competencies for SICs in the context of the Serious Illness Care Program. Methods: Articles published between January 2014 and March 2023 were identified in MEDLINE, PsycINFO, CINAHL, and Pu

A randomised, pragmatic clinical trial of ACUpuncture plus standard care versus standard care alone FOr Chemotherapy Induced peripheral Neuropathy (ACUFOCIN).

PurposeChemotherapy-induced peripheral neuropathy (CIPN) is a dose limiting toxicity posing a major clinical challenge for managing patients receiving specific chemotherapy regimens (e.g., Taxanes). There is a growing body of literature suggesting acupuncture can improve CIPN symptoms. The purpose of the ACUFOCIN trial was to collect preliminary data on the safety, feasibility, acceptability and initial effectiveness of acupuncture as a treatment for CIPN, comparing use of acupuncture plus standard care (Acupuncture) against standard care alone (Control).MethodAt a tertiary cancer centre, a pr

The challenge of chemotherapy-related cognitive impairment: assessing and managing cognitive decline after cancer treatment.

Chemotherapy-related cognitive impairment (CRCI) refers to a decline in cognitive function in patients during and after cancer treatment and is mainly associated with the use of cytotoxic chemotherapy (CT). As CT is still an essential component in the treatment of many cancers and taking into account the fact that cancer survival rates are increasing, CRCI may negatively impact the quality of life and working capacity of a growing number of individuals, especially those treated with curative intent in conditions such as breast cancer. There is still a need to address several issues related to

Core elements of serious illness conversations: an integrative systematic review.

BackgroundAriadne Labs' Serious Illness Care Program (SICP), inclusive of the Serious Illness Conversation Guide (SICG), has been adapted for use in a variety of settings and among diverse population groups. Explicating the core elements of serious illness conversations could support the inclusion or exclusion of certain components in future iterations of the programme and the guide.AimThis integrative systematic review aimed to identify and describe core elements of serious illness conversations in relation to the SICP and/or SICG.DesignLiterature published between 1 January 2014 and 20 March

Микробиота грибкового кишечника в педиатрии с множественным склерозом.

По имеющимся данным, кишечный микробиом может играть определенную роль в множестве склероза (MS). Однако в большинстве исследований основное внимание уделяется кишечным бактериальным сообществам; ни одно из них не изучало грибковую микробиоту (mycobiota) у лиц с педиатрическим множественным склерозом (POMS). Мы изучили кишечник микобиота у людей с ПОМС и без нее посредством перекрестного обследования кишечника микобиота из 46 Образцы стульев участниковthree группы: 18 ПОМЫ, 13 приобретенные монофазные демиелинизирующие синдромы [моноАДС], и 15 Не связанные с этим меры контроля). Использование

British Society for Immunology and United Kingdom Primary Immunodeficiency Network (UKPIN) consensus guideline for the management of immunoglobulin replacement therapy.

Currently, there is no guideline to support the use of immunoglobulin replacement therapy (IgRT) in primary and secondary immunodeficiency disorders in UK. The UK Primary Immunodeficiency Network (UK-PIN) and the British Society of Immunology (BSI) joined forces to address this need. Given the paucity of evidence, a modified Delphi approach was used covering statements for the initiation, monitoring, discontinuation of IgRT as well as home therapy programme. A group of six consultant immunologists and three nurse specialists created the statements, reviewed responses and feedback and agreed on