Publications by authors named "Justin Shamunee"

Background: Childhood cancer survivors (CCS) have a 50% higher risk of diabetes mellitus (DM) compared with the general population. Interventions in survivors with prediabetes (fasting glucose 100-125 mg/dL or hemoglobin A1c 5.7%-6.

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Article Synopsis
  • - The study investigates the feasibility of an 8-week telehealth exercise program for frail survivors of hematopoietic cell transplantation (HCT), highlighting the challenges of traditional rehabilitation access.
  • - 20 participants were divided into an exercise group and a control group, and results showed that over 95% completed the study assessments, while about 45% in the exercise group completed the majority of their sessions.
  • - Although the intervention met its feasibility goals, there were no significant improvements observed in physical performance measures such as handgrip strength and fatigue, indicating mixed results regarding its effectiveness.
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Background: Advances in autologous hematopoietic stem cell transplantation (HSCT) and supportive care have led to marked improvements in survival for patients with multiple myeloma. Despite these improvements, patients with multiple myeloma remain at high risk of physical dysfunction and frailty due to HSCT and its associated exposures. Although traditional supervised exercise programs can improve frailty in cancer patients and survivors, rehabilitation facilities are typically far from a patient's residence, are offered on fixed days/hours, contain uniform activities for everyone, and carry a higher risk of contact cross-infection due to immunosuppression, which can be barriers to exercise participation.

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