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Scleroderma-Specific Autoantibodies and Disease Trajectories in Early Systemic Sclerosis: Insights From a Single-Center Prospective Registry.

OBJECTIVE: Early diffuse cutaneous systemic sclerosis (dcSSc) is associated with substantial disease-specific mortality.  Scleroderma-specific autoantibodies (SSc-Ab) may influence disease course, but their prognostic value in very early dcSSc remains unclear. We examined associations between autoantibody profiles and disease trajectories for clinical events in a prospective single-center cohort. METHODS: We retrospectively analyzed prospectively collected data from a subset of patients enrolled in an early SSc registry between October 2012 and July 2021, including those with early dcSSc or i

Identifying High-Cost, High-Risk Patients Using Administrative Databases in Tuscany, Italy.

Objective(1) Assessing the performance of the algorithm in terms of sensitivity and positive predictive value, considering General Practitioners' (GPs) judgement as benchmark, and (2) describing adverse events (hospitalisation, death, and health services' consumption) of complex patients compared to the general population.Data sources(i) Tuscany administrative database containing health data (2013-5); (ii) lists of complex patients indicated by GPs; and (iii) annual health registry of Tuscany.Study designThe present study is a validation study. It compares a list of complex patients extracted

A scoping review of breakthrough cancer pain: Multidimensional patient needs and influencing factors.

ObjectivesBreakthrough cancer pain (BTcP), a common complication among cancer patients, has been confirmed to have extensive impacts on patients' lives. However, existing research remains fragmented, lacking a systematic theoretical framework to integrate these findings. This scoping review aimed to systematically examine the multidimensional needs and influencing factors of BTcP patients based on Kolcaba's Comfort Theory, construct a conceptual mapping of BTcP needs and influences, and explore the theoretical foundations and practical pathways of related interventions.MethodsUsing a scoping r

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Беспокойство, депрессия и расширение масштабов инвалидности независимо предсказывают восприятие инвалидности у лиц с множественным склерозом: перекрестное исследование.

Множественный склероз (MS) является наиболее распространенной причиной инвалидности среди молодых людей из-за нескольких моторных, сенсорных и когнитивных симптомов. Однако пока мало что известно о влиянии психологических, когнитивных и социальных факторов на субъективную инвалидность. Цель этого исследования заключается в изучении роли клинических, психологических, когнитивных и социальных переменных в прогнозировании уровней инвалидности, которые воспринимаются лицами с множественным склерозом (PwMS). График оценки инвалидности Всемирной организации здравоохранения (ВОЗДАС) 2.0В качестве суб

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… Coenen et al. [ 15 ] adopted the International Classification of Functioning, Disability and Health (ICF; [ 7 , 16 ]) to evaluate the impact of MS on functioning, highlighting the impairments in cognition and restriction in social participation as key influencing factors of MS disability. …

Seventeen-year reassessment of diagnostic transitions, biologic therapy initiation and mortality in spondyloarthritis: results from the REGISPON-3 study.

OBJECTIVES: To evaluate disease evolution, diagnostic transitions, time to biologic treatment initiation and mortality in patients with spondyloarthritis (SpA) after 17 years from the original Spanish Registry of Spondyloarthritis (REGISPONSER). METHODS: Spondyloarthritis Registry 3 (REGISPON-3) is a two-timepoint longitudinal study with patients fulfilling the European Spondyloarthropathy Study Group criteria participating in the REGISPONSER study and re-evaluated after 17 years. Clinical, laboratory, radiological and treatment data were collected and compared with baseline. Diagnostic chang

Клиническое и экономическое бремя лиц, получающих пособия по уходу за больными, с множественными миеломами и почечными расстройствами: исследование наблюдений.

Данные о реальных клинических и экономических результатах лечения пациентов с множественными миеломой (ММ) и почечными расстройствами (РИ) в Соединенных Штатах ограничены. Цель этого ретроспективного исследования состояла в том, чтобы подготовить обновленную всеобъемлющую оценку клинических и экономических результатов лечения пациентов с РИ с использованием поддающихся идентификации данных исследования " Медикэр " с увязкой с частью D, что могло бы помочь в оценке общего клинического и социально-экономического бремени этих пациентов с высокой степенью риска и труднодоступным лечением

Health state utilities in patients with diabetic retinopathy, diabetic macular oedema and age-related macular degeneration: a systematic review.

BackgroundHealth state utility values (HSUVs) are important in the assessment of the cost effectiveness of new interventions. In the case of visual conditions, models generally tend have tended to be built around a set of health states defined by visual acuity (VA). The aim of this review was to assess the impact of VA on HSUVs in patients with diabetic retinopathy, diabetic macular oedema or age-related macular degeneration.MethodsA systematic literature search was undertaken in major bibliographic databases to identify articles reporting on the relationship between HSUVs and vision. Data wer

Patterns of geriatric anemia: A hospital-based observational study in North India.

BackgroundGeriatric anemia is a global health problem because of its high prevalence and associated significant morbidity and mortality.AimThe objectives of this study were to estimate the pattern of anemia in the elderly patients and the underlying etiology of anemia.Research design and methodsThis was a hospital-based prospective observational study, conducted in patients aged 60 years and above at PGIMER, Chandigarh, a tertiary care center of North India. Anemia is defined as hemoglobin level less than 13 g/dl in men and 12 g/dl in women.ResultsAmong the 105 older patients with anemia, the

The disease burden attributable to 18 occupational risks in China: an analysis for the global burden of disease study 2017.

BackgroundChina has more than 18% of the global population and over 770 million workers. However, the burden of disease attributable to occupational risks is unavailable in China. We aimed to estimate the burden of disease attributable to occupational exposures at provincial levels from 1990 to 2017.MethodsWe estimated the summary exposure values (SEVs), deaths and disability-adjusted life years (DALYs) attributable to occupational risk factors in China from 1990 to 2017, based on Global Burden of Disease Study (GBD) 2017. There were 18 occupational risks, 22 related causes, and 35 risk-outcom

Нейрофизиологические подходы к борьбе с болью при множественном склерозе: мини-обзор.

Хроническая боль является распространенным, но зачастую недостаточно признанным симптомом у лиц с множественным склерозом (МС), который затрагивает 29-86% населения. Это положение может существенно повлиять на функциональность отдельных лиц, включая их способность заниматься профессиональной деятельностью. Патофизиология, лежащая в основе этого состояния, остается сложной и не вполне понятной, а неадекватные меры реагирования на фармакологические вмешательства или неблагоприятные последствия могут препятствовать его регулированию. В свете этих замечаний настоятельно необходимо определить новые

Показатели качества консенсуса для мониторинга множественного склероза.

Множественный склероз (МС) как хроническое, дегенеративное аутоиммунное заболевание центральной нервной системы имеет продольный и разнородный курс с увеличением вариантов лечения и профилей рисков, требующих постоянного мониторинга растущего числа параметров. Несмотря на руководящие принципы лечения, отсутствуют стратегические и индивидуализированные пути мониторинга, включая соответствующие показатели качества (КИ). Для решения этой проблемы мы систематически разрабатывали транспарентные, отслеживаемые и измеримые КИ для мониторинга НР. С помощью обзора литературы, дискуссий экспертов и форм

Comparative Long-Term Outcomes of Vertebroplasty Versus Kyphoplasty for Osteoporotic Vertebral Compression Fractures: A Propensity-Matched Analysis.

Introduction Vertebroplasty and kyphoplasty are widely performed for osteoporotic vertebral compression fractures (VCFs). The objective of this study was to compare long-term clinical outcomes between patients undergoing vertebroplasty and kyphoplasty for osteoporotic VCFs. Methods We used the TriNetX US Collaborative Research Platform to identify adults aged ≥50 years with osteoporotic VCFs treated with vertebroplasty or kyphoplasty between 2000 and 2025. Patients with malignancy were excluded. Cohorts were propensity-matched 1:1 (7,528 per cohort) on demographic, comorbidity, and bone health

Резюме докладов 53rd Конференция Европейского общества генетики человека: интерактивные электронные постеры.

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Опыт и проблемы лиц с множественным склерозом и низкой посещаемостью клинических исследований: качественное исследование.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Многие люди с множественным склерозом (МС) в Европе сталкиваются с ограниченным доступом к лечению и уходу. Исследования проблем, с которыми сталкиваются люди, не имеющие доступа к специализированному уходу и лечению, являются ограниченными, что оставляет пробел в понимании опыта и проблем тех, кто не посещает специализированный уход. Таким образом, мы намеревались изучить опыт людей с НР, которые не посещают регулярные клинические осмотры в специализированных клиниках НР в Дании, с уделением особого внимания самообслуживанию. МЕТОДЫ: В соответствии с подходом Брауна и К

Monoclonal Gammopathies of Clinical Significance: A Critical Appraisal.

Monoclonal gammopathies of clinical significance (MGCSs) represent a group of diseases featuring the association of a nonmalignant B cells or plasma cells clone, the production of an M-protein, and singularly, the existence of organ damage. They present a current framework that is difficult to approach from a practical clinical perspective. Several points should be addressed in order to move further toward a better understanding. Overall, these entities are only partially included in the international classifications of diseases. Its definition and classification remain ambiguous. Remarkably,

Update on Occupational Cancer for Better Cancer Prevention and Control.

Occupational cancer remains an ongoing and emerging issue in cancer prevention and control and is more easily preventable in practice than other causes. As of 2024, changes in various aspects, such as methods for estimating the burden of cancer, evidence on novel carcinogens and classification systems, modernization of working conditions, job characteristics, occupational exposure, and societal changes have played a significant role. Furthermore, advances in technology, including wearable devices, exposome, and biomedical technology, offer more precise methods for identifying the associations

The role of sarcopenia questionnaires in hospitalized patients with chronic heart failure.

ObjectivesTo compare the diagnostic value of the SARC-F, MRSA-7 and MRSA-5 questionnaires in screening for sarcopenia in inpatients with chronic heart failure (CHF).PatientsA total of 355 CHF patients hospitalized from January 2019 to August 2019 who met the study's selection criteria were included in the analysis.MeasurementsHandgrip strength and gait speed were measured, and bioelectrical impedance analysis (BIA) was used to estimate appendicular skeletal muscle mass. The sensitivity/specificity of the SARC-F, MRSA-7 and MRSA-5 questionnaires was evaluated.ResultsThe diagnostic criteria of t

Identifying Frail Patients by Using Electronic Health Records in Primary Care: Current Status and Future Directions.

With the rapidly aging population, frailty, characterized by an increased risk of adverse outcomes, has become a major public health problem globally. Several frailty guidelines or consensuses recommend screening for frailty, especially in primary care settings. However, most of the frailty assessment tools are based on questionnaires or physical examinations, adding to the clinical workload, which is the major obstacle to converting frailty research into clinical practice. Medical data naturally generated by routine clinical work containing frailty indicators are stored in electronic health r

Research trends between acquired immune deficiency syndrome and hematological malignancies: a bibliometric analysis.

ObjectiveThis study examines the well-documented association between HIV/AIDS and hematological malignancies, where HIV infection increases the risk of developing these conditions, using bibliometric analysis to explore research trends and global patterns.MethodsA bibliometric analysis was performed using the Web of Science Core Collection database, focusing on English-language articles related to "HIV/AIDS" and "hematological malignancies" published from 1979 to August 2024, employing VOSviewer, CiteSpace, and R package "Bibliometrix" for data analysis and visualization.ResultsA total of 1336