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Anterior petrosal approach for petroclival solitary plasmacytoma.

BACKGROUND: Primary solitary plasmacytoma (PSP) of the skull base is a rare localized monoclonal plasma cell dyscrasia with normal or low plasma cell infiltration. Differentiating from other skull base tumors based on radiologic findings is difficult due to nonspecific features. PSP has a better prognosis after surgical resection and adjuvant radiotherapy, unless the tumor progresses to multiple myeloma (MM). Nonetheless, 50-60% progress to MM within a median time of 2 years. Gross total resection (GTR) for PSP is controversial for improving overall survival. However, if the lesion is easily a

Diagnosis and treatment of cardiac amyloidosis: an interdisciplinary consensus statement.

The prevalence and significance of cardiac amyloidosis have been considerably underestimated in the past; however, the number of patients diagnosed with cardiac amyloidosis has increased significantly recently due to growing awareness of the disease, improved diagnostic capabilities and demographic trends. Specific therapies that improve patient prognosis have become available for certain types of cardiac amyloidosis. Thus, the earliest possible referral of patients with suspicion of cardiac amyloidosis to an experienced center is crucial to ensure rapid diagnosis, early initiation of treatmen

Безопасность подкожного Даратумумаба Anti-CD38 Моноклональные антитело-наивные пациенты с расстройствами плазменных клеток: опыт мультицентральной реальной жизни.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: anti-CD38 моноклональная антитела используется для лечения множественной миэломы (ММ) и легкой цепи амилоидоз при внутривенной дозировке 16 мг/кг или при подкожной фиксированной дозе 1800 мг. Однако подкожный состав был только недавно утвержден в Европе, и по-прежнему мало реальных данных о его безопасности. ЦЕЛЬ: В этом многоцентровом ретроспективном опыте реальной жизни мы предоставили доказательства безопасности подкожного даратумумаба при расстройствах плазменных клеток. ПАТИЕНТЫ И МЕТОДЫ: Всего 189 В это ретроспективное исследование были включены пациенты с диагнозо

The SMARTIE Program: A Novel Initiative to Evaluate the Impact of AP Continuing Education on Clinical Practice.

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Quality of life assessment in cancer patients receiving single-agent versus multidrug chemotherapy protocols.

BackgroundQuality of life (QoL) is an essential factor in therapeutic decision-making for human patients and is commonly used as an endpoint in clinical trials of cancer treatments.AimTo compare owners' perception of QoL in canine and feline patients affected by different tumor histotypes treated with single-agent or multidrug protocols.MethodsOwners were asked to assess the impact on QoL of their pets undergoing chemotherapy treatment by answering a questionnaire and assigning a score to different health-related parameters reported to affect QoL.ResultsQuestionnaires of 101 patients (85 dogs

Empowering Patients in Clinical Research: A Narrative Review.

This narrative review focuses on the evolving shift toward patient centricity in Indian clinical research, highlighting persistent gaps in structured patient engagement. The review synthesizes existing literature on patient-centered clinical research and contextualizes these principles through two India-based initiatives: Patient Advocates for Clinical Research (PACER) and Patient Recommendations for Ethical Decentralized and Inclusive Clinical Trials (PREDICT). A targeted literature search was conducted across Medline (via PubMed), Google Scholar, and the Cochrane Library to identify publishe

Epidemiology and Chemosensitivity of Primary Malignant Bone Tumors at a Teaching Hospital in South Africa: A 5-Year Retrospective Analysis.

BACKGROUND Primary malignant bone tumors (PMBTs) are rare. The incidence of PMBTs varies by geographical location. In our African context, osteosarcoma is the most common PMBT seen; however, there is a variable representation of other PMBTs, likely due to some risk factor in the involved environment. PMBTs have not been studied concerning their geographical location and the role the environment can play as a risk factor. Our study aimed to retrospectively review children and adults treated for PMBTs at our center between 2016 and 2021. MATERIAL AND METHODS We performed a records review of pati

Real-World Data Included in Post-authorisation Measures: A Case Study of Approved Advanced Therapy Medicinal Products in the European Union between 2013 and 2024.

BackgroundAdvanced therapy medicinal products (ATMPs) often require long-term monitoring to assess both safety and efficacy post-authorisation due to uncertainties identified during the approval process. This study aims to characterise the use of real-world data (RWD) in post-authorisation measures (PAMs) for ATMPs approved in the European Union.MethodsA systematic extraction of all PAMs from publicly available European Medicines Agency (EMA) regulatory documents for ATMPs approved between January 2013 and December 2024 was performed, followed by the identification of the presence and sources

BRAF V600E-Mutant Acute Myeloid Leukemia: A Case Series and Literature Review of a Rare Entity.

Background: Although BRAF V600E mutations are common in solid tumors and select hematologic neoplasms, they are reported less frequently in myeloid malignancies. Of the cases of BRAF V600E-mutant acute myeloid leukemia (AML) that have been described, most display monocytic morphology and concurrent KMT2A rearrangement. Strikingly, all cases have been associated with poor survival. Case Presentation: Here, we report two cases of AML, one diagnosed in an elderly male with metastatic lung adenocarcinoma and hepatocellular carcinoma and the other diagnosed in a young boy previously treated for B-c

Guidelines on deep vein thrombosis of the Brazilian Society of Angiology and Vascular Surgery.

Deep vein thrombosis is one of the main causes of inpatient and outpatient morbidity, both in medical and surgical patients, significantly impacting mortality statistics and requiring prompt diagnosis so that treatment can be initiated immediately. This document was prepared and reviewed by 11 specialists certified by the Brazilian Society of Angiology and Vascular Surgery, who searched the main databases for the best evidence on the diagnostic (physical examination, imaging) and therapeutic approaches (heparin, coumarins, direct oral anticoagulants, fibrinolytics) to the disease.

Cancer medicines: a private vice for public benefit?

Cancer medicines have become one of the most dominant global medical technologies. They generate huge profits for the biopharmaceutical industry as well as fuel the research and advocacy activities of public funders, patient organisations, clinical and scientific communities and entire federal political ecosystems. The mismatch between the price, affordability and value of many cancer medicines and global need has generated significant policy debate, yet we see little change in behaviours from any of the major actors from public research funders through to regulatory authorities. In this polic

Радиум - с момента открытия и до настоящего времени - обзор событий.

После его открытия радий первоначально пропагандировался в качестве терапевтического агента для широкого круга заболеваний, включая расстройства кожи, аллергию, проблемы зрения, боль в суставах и общее средство для укрепления здоровья. Однако последующие исследования продемонстрировали ее значительную радиологическую токсичность и вредное воздействие на здоровье человека. Несмотря на эти риски, более чем через сто лет после его открытия, некоторые радиевые изотопы по-прежнему имеют ограниченное применение в медицинских целях, особенно при лечении конкретных раковых заболеваний. После поглощени

Совпадение в полном тексте источника
… Radon exposure depends on the occupational source (e.g., uranium mining, caves, mines) or environmental source (e.g., home, offices). Indoor radon levels are influenced by local geology, building materials, and household lifestyle factors [ 2 , 69 , 69 ]. … models, the ICRP has also issued a recommendation for radon depending on the location: In underground mines (tourist or active), indoors (kindergartens, schools, offices, cafes, etc.) − 3 mSv/mJ h m -3 , Indoors in areas associated with high physical exertion and for employees of tourist routes in caves …

Виртуальная реальность в области аутизма и физической терапии: метааналитический обзор клинических результатов и терапевтической эффективности.

Технология Virtual Reality (VR) стала трансформативной терапевтической инновацией в сфере здравоохранения, обеспечивая императивность three- многомерная, многочувствительная среда, способствующая практическому обучению, реабилитации и взаимодействию. Хотя результаты многочисленных исследований свидетельствуют о его преимуществах, эмпирические исследования в области основанных на VR методов лечения расстройства аутистического спектра (ASD) и физической терапии (PT) по-прежнему ограничиваются методологическими несоответствиями, небольшими размерами выборки и изменяющимися схемами вмешательства.

Ofatumumab in multiple sclerosis: 2-year immune profiling and clinical correlates.

INTRODUCTION: Anti-CD20 monoclonal antibodies, such as ofatumumab, have significantly improved the management of multiple sclerosis (MS). Still, their long-term immunological effects, particularly on non-B-cell populations, remain poorly explored. We characterized longitudinal changes in circulating lymphocyte subsets and explored their clinical correlates in people with MS treated with ofatumumab. METHODS: We conducted an observational cohort study including adults with MS who initiated ofatumumab and had paired baseline and on‑treatment assessments after at least 2 years (n=34). Immunopheno

Оценка киберзаболевания в бессмертных виртуальных средах: систематический обзор с последствиями для неврологической реабилитации.

Введение. Распространение виртуальных технологий виртуальной реальности (ВР) изменило характер взаимодействия людей с цифровой средой, открывая беспрецедентные возможности в различных областях: от развлечений и образования до здравоохранения и лечения психических заболеваний. Велосипедный VR все чаще внедряется в моторные и когнитивные программы в нейро-абилитации, где крайне важно обеспечить безопасность пациентов и соблюдение курса лечения. Несмотря на свою актуальность, концептуализация и измерение киберболезни (КШ) остаются фрагментированными в разных дисциплинах, при этом различные инстру

Modeling treatment-dependent glioma growth including a dormant tumor cell subpopulation.

BackgroundTumors comprise a variety of specialized cell phenotypes adapted to different ecological niches that massively influence the tumor growth and its response to treatment.MethodsIn the background of glioblastoma multiforme, a highly malignant brain tumor, we consider a rapid proliferating phenotype that appears susceptible to treatment, and a dormant phenotype which lacks this pronounced proliferative ability and is not affected by standard therapeutic strategies. To gain insight in the dynamically changing proportions of different tumor cell phenotypes under different treatment conditi

Is There a Role for Bismuth in Diarrhea Management?

Diarrhea, an illness of both the developed and developing world, involves the burdensome characteristics of frequent bowel movements, loose stools, and abdominal discomfort. Diarrhea is a long-standing challenge in palliative care and can have a myriad of causes, making symptomatic treatment pertinent when illness evaluation is ongoing, when there is no definitive treatment approach, or when effective treatment cannot be attained. Symptomatic therapy is a common approach in palliative care settings. Bismuth is a suitable agent for symptomatic therapy and can be effectively employed for managem

Cancer-associated thrombosis: prevention and treatment.

Patients with cancer are at high risk to develop venous thromboembolism, and they are also more likely to develop complications from anticoagulant treatment. Because little research has focused on the oncology population to date, the optimal methods of prophylaxis and treatment remain uncertain in some clinical situations. Currently, low molecular weight heparin and warfarin are the most frequently used pharmacologic agents; however, they have their limitations. Other therapeutic options, such as inferior caval filters, are poorly studied and remain controversial. A summary of the most recent

Антиконвульсантная терапия в тригеминальной невралгии: системный обзор класса.

Фон/цели Trigemenal Neuralgia (TN) — хроническое нервное заболевание, характеризующееся внезапной, сильной болью в лице. Антиконвульсанты являются краеугольным камнем фармакологического управления, однако сравнительных данных, основанных на фармакологическом классе, по-прежнему недостаточно. Этот систематический обзор был направлен на оценку эффективности и безопасности антиконвульсантов в TN, стратифицированных их механизмом действий. 2020 Руководящие принципы. Исследования с использованием фармакологического подхода, включая пациентов с ТН, опубликованные на английском языке с тех пор 2000,

Diagnosis and treatment of multiple myeloma and AL amyloidosis with focus on improvement of renal lesion.

Multiple myeloma (MM) and AL amyloidosis are caused by the expansion of monoclonal plasma cells and secretion of dysproteinemia (Bence Jones protein and free light chain) and some patients require the hemodialysis. Myeloma kidney is mainly caused by the cast nephropathy of the distal tubuli, whereas, AL amyloid-protein is mainly deposited in glomeruli with massive fibrillar involvement. Therefore, almost MM patients presents a symptom of renal insufficiency, whereas, almost patients of AL amyloidosis present a nephrotic syndrome with severe hypoalbuminemia. These two diseases have some similar