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MicroRNA Express Profiles как биомаркеры реакции на корректирующую болезнь терапию при множественном склерозе: системный обзор.

Хотя микроРНК (миРНК) являются активной областью исследований в области множественного склероза (МС) и были предложены в качестве потенциальных биомаркеров реакции на лечение, имеющиеся данные по-прежнему трудно интерпретировать. В рамках этого систематического обзора изучается взаимосвязь между выражением miRNA и реакцией на корректирующие заболевания методы лечения (DMT) у взрослых с MS. С момента создания базы данных PubMed/MedLINE и веб-страницы научных исследований проводились систематические обыски 11 Февраль 2026. Fifteen исследования, которые сравнивали выражение miRNA между респондент

Clinical Dilemmas in the Treatment of Elderly Patients Suffering from Hodgkin Lymphoma: A Review.

Elderly patients make up a significant number of cases of newly diagnosed Hodgkin lymphoma. However, unlike in young patients, the outcomes of elderly patients are poor, and they are under-represented in phase III trials. Prior to treatment initiation, geriatric assessment should ideally be performed to address the patient's fitness and decide whether to pursue a curative or palliative approach. The ABVD regimen is poorly tolerated in unfit patients, with high treatment-related mortality. Alternative chemotherapy approaches have been explored, with mixed results obtained concerning their feasi

Anesthesia's Influence on Postoperative In-Hospital Morbidity-Mortality in Proximal Femoral Fractures in the Elderly.

Background and Objectives: The incidence of proximal femoral fractures (PFFs) is rising, causing significant morbidity and mortality. Regional anesthesia (RA)'s benefits include the avoidance of intubation and mechanical ventilation, decreased blood loss, and improved analgesia. General anesthesia (GA) offers improved hemodynamic stability. This study examines the in-hospital post-surgical morbidity and mortality seen in PFFs in a cohort of the elderly undergoing GA or RA. Materials and Methods: This is a retrospective cohort study of 319 PFF patients older than 65 years over a single year. Re

Quality indicators and patient outcome measures for palliative care in cancer patients: a systematic review.

IntroductionWith the exponential rise in global cancer incidence, the surge in demand for palliative care has outstripped capacity, limiting patients' access to quality and holistic palliative care, especially in low- and middle-income countries. Despite an upturn in research activity, evidence in palliative care remains limited, given its complexity as well as the shortage of standardised quality indicators (QIs) and patient outcome measures (POMs). The objective of this systematic review is to assess the QIs and POMs used to evaluate palliative care service on aggregated and individual level

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… . | Home Care | Process | Emergency home visits Austria | Schurr et al [ 37 ] | Patient-reported outcome measures for physical function in cancer patients: content comparison of the EORTC CAT Core, EORTC QLQ-C30, SF-36, FACT-G and PROMIS measures using the International Classification of Functioning, … Patient-reported outcome measures for physical function in cancer patients: content comparison of the EORTC CAT Core, EORTC QLQ-C30, SF-36, FACT-G, and PROMIS measures using the International Classification of Functioning, Disability and Health. …

Thai Osteoporosis Foundation (TOPF) position statements on management of osteoporosis.

The adjusted incidence rate of hip fracture in Thailand has increased more than 31% from 1997 to 2006. Mortality and morbidity after hip fracture are also high. One year mortality after a hip fracture has increased from 18% in 1999 to 21% in 2007. The Thai Osteoporosis Foundation (TOPF) developed the first Clinical Practice Guideline (CPG) in 2002 and keeps updating the CPG since then. This latest version of the CPG is our attempt to provide comprehensive positional statement on the diagnosis, prevention and treatment of osteoporosis in Thailand. The study group who revised this position state

Immediate family support is important to discharge home for cancer patient with bone metastasis after rehabilitation: A retrospective study.

AbstractThe purpose of this study is to investigate the predictive factors of home discharge for rehabilitation patients with cancer bone metastasis.Cancer patients with bone metastasis who underwent rehabilitation between April 2014 and March 2017 were retrospectively enrolled. Data on discharge destination were collected from medical records as outcomes. Multiple regression analyses were carried out to investigate the predictive factors of home discharge.Ninety-eight patients (mean age: 68.6 years, 42 females and 56 males) were included. Fifty patients were discharged home, 38 patients were

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… Environmental factors such as living with immediate family are some of the most important factors in the World Health Organization's International Classification of Functioning, Disability and Health. Taking the patient's social environment into consideration is one of the keys to rehabilitation. …

Expression and Regulation Network of HDAC3 in Acute Myeloid Leukemia and the Implication for Targeted Therapy Based on Multidataset Data Mining.

BackgroundHistone deacetylase 3 (HDAC3) plays an important role in the development and progression of a variety of cancers, but its regulatory mechanism in acute myeloid leukemia (LAML) is not entirely understood.MethodsWe analyzed the expression of HDAC3 in normal and cancerous tissues using Oncomine, UALCAN, and GEO databases. Changes of the HDAC3 gene were analyzed by cBioPortal. The genes coexpressed with HDAC3 were analyzed by WebGestalt, and the predicted signaling pathways in KEGG were discussed.ResultsWe discovered that the expression of HDAC3 was elevated in some types of acute myeloi

Ассоциация по борьбе с раком и острыми почечными травмами среди населения, получающего медицинскую плату за услуги.

RATALE & ObJECTive: Острая травма почек (AKI) является частым осложнением рака в силу множественных факторов. Наша цель состояла в том, чтобы оценить современные связи между различными раковыми заболеваниями и инцидентами, связанными с АКИ, среди бенефициаров программы " Медикэр " . ИССЛЕДОВАНИЕ: Ретроспективное исследование наблюдений. УЧАСТНИКИ: Бенефициары медицинской помощи в возрасте ≥66 Годы. Новый диагноз рака. Случай АКИ. АНАЛИТИЧЕСКИЙ ПОДХОД: Последующая деятельность началась с диагностики рака или с декабря 31, 2014, для контроля и до конца на дату AKI, смерть, рак в контро

Optimal Delivery of Follow-Up Care After Allogeneic Hematopoietic Stem-Cell Transplant: Improving Patient Outcomes with a Multidisciplinary Approach.

The increasing indications for allogeneic stem-cell transplant in patients with hematologic malignancies and non-malignant diseases combined with improved clinical outcomes have contributed to increase the number of long-term survivors. However, survivors are at increased risk of developing a unique set of complications and late effects, besides graft-versus-host disease and disease relapse. In this setting, the management capacity of a single health-care provider can easily be overwhelmed. Thus, to provide appropriate survivorship care, a multidisciplinary approach for the long-term follow-up

Acute myeloid leukemia: from NGS, through scRNA-seq, to CAR-T. dissect cancer heterogeneity and tailor the treatment.

Acute myeloid leukemia (AML) is a malignant blood cancer with marked cellular heterogeneity due to altered maturation and differentiation of myeloid blasts, the possible causes of which are transcriptional or epigenetic alterations, impaired apoptosis, and excessive cell proliferation. This neoplasm has a high rate of resistance to anticancer therapies and thus a high risk of relapse and mortality because of both the biological diversity of the patient and intratumoral heterogeneity due to the acquisition of new somatic changes. For more than 40 years, the old gold standard "one size fits all"

Оценка и лечение мужской сексуальной дисфункции в болезни Паркинсона: клиническая дорожная карта.

Болезнь Паркинсона (PD) является прогрессивным нейродегенеративным заболеванием с множественными проявлениями, включая как моторные, так и немоторные симптомы. Одним из проявлений PD, который часто игнорируется, является сексуальная дисфункция (SD), которую могут испытывать пациенты. У лиц с ОВП могут быть дефекты сексуального желания, возбуждения или смазки, оргазма, эякуляции, боли и физических аспектов близости. Цель этой статьи состоит в том, чтобы дать общее представление о нынешней практике оценки и лечения сексуальной дисфункции у мужчин в контексте ПР. Следует отметить, что в этой стат

ESMO/ASCO Recommendations for a Global Curriculum in Medical Oncology Edition 2023.

The European Society for Medical Oncology (ESMO) and ASCO are publishing a new edition of the ESMO/ASCO Global Curriculum (GC) with contributions from more than 150 authors. The purpose of the GC is to provide recommendations for the training of physicians in medical oncology and to establish a set of educational standards for trainees to qualify as medical oncologists. This edition builds on prior ones in 2004, 2010, and 2016 and incorporates scientific advances and input from an ESMO ASCO survey on GC adoption conducted in 2019, which revealed that GC has been adopted or adapted in as many a

Guselkumab, an inhibitor of the IL-23p19 subunit, provides sustained improvement in signs and symptoms of active psoriatic arthritis: 1 year results of a phase III randomised study of patients who were biologic-naïve or TNFα inhibitor-experienced.

OBJECTIVE: Evaluation of the efficacy and safety of guselkumab, a human monoclonal antibody targeting the interleukin-23p19 subunit, in patients with psoriatic arthritis (PsA) through 1 year. METHODS: Adults who met ClASsification criteria for Psoriatic ARthritis, with active disease (≥3 swollen and ≥3 tender joints; C reactive protein ≥0.3 mg/dL) despite standard treatment (31% previously received ≤2 tumour necrosis factor inhibitors (TNFi)), were randomised (1:1:1) to guselkumab 100 mg every 4 weeks (Q4W); guselkumab 100 mg at Week0, Week4, then Q8W; or placebo with cross-over to guselkumab

Неучтенная роль экгасомов в когнитивно-моторной нейрореабилитации: систематический обзор.

Эксгармии — это новые инструменты когнитивно-моторной нейрореабилитации, но их воздействие на взрослых с неврологическими условиями еще недостаточно изучено. В рамках этого систематического обзора были изучены исследования, полученные из PubMed, Scopus, Embase и Web of Science, с оценкой воздействия экзотомов на двигательные и когнитивные результаты. К числу приемлемых исследований относятся случайные контролируемые испытания (РСТ), не связанные с РСТС и экспериментальные проекты. Протокол был зарегистрирован на сайте ПРОСПЕРО (CRD420250655053) и составлен в соответствии с руководящими принцип

An explainable predictive machine learning model of osteopenia for perimenopausal women based on clinical data: a retrospective single-center study.

BACKGROUND: Osteoporosis is increasingly prevalent, yet early detection remains difficult. This study aimed to develop a machine learning (ML)-based model for identifying individuals at risk of osteopenia using clinical data. METHODS: Female participants who were aged 45 years and above with complete femoral neck BMD data were included. A total of 1,108 participants were divided into training (70%) and test (30%) datasets. Various ML-based algorithms (random forest (RF), least absolute shrinkage and selection operator (LASSO), gradient boosting decision tree (GBDT) were used to identify key p

Abstracts from the 13th International Conference for Healthcare and Medical Students (ICHAMS).

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Targeting Amyloid Fibrils by Passive Immunotherapy in Systemic Amyloidosis.

Systemic amyloidoses are characterized by the unrelenting deposition of autologous proteins as highly ordered fibrils in target organs. The ensuing, potentially fatal organ dysfunction is the result of the combined damage caused by the proteotoxic effect of prefibrillar species and by the cytotoxicity and the structural alterations produced by the amyloid fibrils. Current therapy is focused on eliminating the amyloid protein, thus extinguishing the amyloid cascade at its origin. While this approach may end the cell damage caused by prefibrillar aggregates and prevent further amyloid accumulati

Analysis of medical malpractice liability disputes related to novel antineoplastic drugs and research on risk prevention and control strategies.

OBJECTIVE: To investigate the general characteristics of litigation cases of medical malpractice liability disputes (MMLDs) related to novel antineoplastic drugs (NADs), the drugs involved, as well as the common types of medical errors related to NADs and their damages in the process of diagnosis and treatment, with the aims of improving the level of rational medication use in the clinical application of NADs and actively prevent medical disputes. METHODS: The China Judgments Online was searched for the cause of action using the key word "MMLDs" along with the name of 77 kinds of NADs. A tota

Is dosing of therapeutic immunoglobulins optimal? A review of a three-decade long debate in europe.

The consumption of immunoglobulins (Ig) is increasing due to better recognition of antibody deficiencies, an aging population, and new indications. This review aims to examine the various dosing regimens and research developments in the established and in some of the relevant off-label indications in Europe. The background to the current regulatory settings in Europe is provided as a backdrop for the latest developments in primary and secondary immunodeficiencies and in immunomodulatory indications. In these heterogeneous areas, clinical trials encompassing different routes of administration,

Картирование ухода в конце жизни для пациентов с неврологическими заболеваниями на немецких хоспезах: обследование распространенности точечных заболеваний.

ОБРАЩЕНИЕ: Доступ пациентов с неврологическими заболеваниями к паллиативной помощи по-прежнему ограничен. К числу факторов, способствующих этому, относятся трудности с прогнозированием траекторий заболеваний, ограниченность ресурсов для долгосрочного ухода и трудности с выявлением фазы завершения жизни, которая зачастую усугубляется коммуникационными и когнитивными нарушениями. МЕТОДЫ: Мы провели национальное обследование точечной распространенности среди германских стационарных хоспей с использованием онлайнового вопросника. Результаты: доля ответивших 44%, с 83% - наличие у участников хоспей