1,132 results match your criteria: "Barretos Cancer Hospital.[Affiliation]"

Health economic appraisals often rely on the assessment of health utilities using preference-based measures (PBM). The cancer-specific PBM, European Organisation for Research and Treatment of Cancer Quality of Life Utility - Core 10 Dimensions (EORTC QLU-C10D), was developed recently, and now needs to be validated in various clinical populations. In a multicenter, multinational prospective cohort study, we longitudinally collected EORTC QLQ-C30 and EQ-5D-5L data from patients with thyroid cancer.

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  • * A case-control study investigated specific SMAD7 SNPs (rs4464148, rs4939827, rs12953717) to determine their association with CRC risk and any impact on patient survival.
  • * The findings revealed that only the CT genotype of rs4939827 was associated with CRC risk, while no SNP genotype indicated any prognostic significance for survival, suggesting that further research is necessary to explore genetic variations and their effects in diverse populations.
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Background: The role of microbiome, particularly Fusobacterium nucleatum (Fn), in periodontal disease and oral squamous cell carcinoma (OSCC) has been recently explored. This study aimed to evaluate the Fn presence and its levels in oral rinse samples from Brazilian OSCC patients and healthy individuals and its association with sociodemographic, clinical, and oral health features.

Methods: In this case-control study, 80 participants were included, 31 OSCC patients and 49 individuals without a cancer history.

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Background: Combination immune checkpoint blockade targeting PD-1 and CTLA-4 leads to high response rates and improved survival in advanced cutaneous melanoma (CM). Less is known about the efficacy of this combination in acral lentiginous melanoma (ALM).

Objectives: To determine the efficacy of combination immune checkpoint blockade targeting PD-1 and CTLA-4 in a real-world, diverse population of ALM.

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Background: Leadership is recognized as an essential competency in health care and science, being central for professionals to face health challenges. Few physicians feel prepared to serve as leaders in the health care environment, and few receive training in the leadership skills needed to be successful. Teaching leadership skills together with extensive, longitudinal, clinical education in an authentic and nurturing environment can effectively develop students for leadership in medicine.

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The Application of Large Language Models in Gastroenterology: A Review of the Literature.

Cancers (Basel)

September 2024

Gastroenterology and Hepatology Unit, Department of Health Promotion, Mother & Child Care, Internal Medicine & Medical Specialties, University of Palermo, 90133 Palermo, Italy.

Large language models (LLMs) are transforming the medical landscape by enhancing access to information, diagnostics, treatment customization, and medical education, especially in areas like Gastroenterology. LLMs utilize extensive medical data to improve decision-making, leading to better patient outcomes and personalized medicine. These models are instrumental in interpreting medical literature and synthesizing patient data, facilitating real-time knowledge for physicians and supporting educational pursuits in medicine.

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  • Dignity Therapy (DT) helps individuals with terminal illnesses and their families deal with emotional suffering, but not everyone can access it; hence, Posthumous Dignity Therapy (PDT) was created for bereaved family members and needs validation in specific cultural contexts, like Portuguese-Brazilians.
  • The study used Beaton's methodology for translating and adapting the PDT Schedule of Questions for the Brazilian context, involving expert evaluations and pre-testing with in-person interviews instead of remote methods.
  • The validation process yielded a high Content Validity Index and highlighted the importance of cultural modifications, paving the way for future research and implementation of DT in palliative care settings that supports bereaved families in their grieving processes.
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Objective: Clinical cancer genetics services are expanding globally, but national policy and health care systems influence availability and implementation. Understanding the environmental factors within a country is required to appropriately implement, adapt, and evaluate cancer genetics service delivery models. An environmental scan (ES) is an approach used in business, public health, health care and other sectors to collect information about an environment or system for strategic decision making and program planning.

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Gastric cancer (GC) is one of the most common malignant tumors in the digestive system and due to its poor prognosis, there is an increase in the demand for more effective anticancer therapies. Interleukins are potential anticancer agents which can modulate expression of cancer related genes and have therapeutic effects. Interleukin 12 (IL-12) exhibits potent anti-tumor, anti-angiogenic and anti-metastatic activities and represents the ideal candidate for tumor immunotherapy, due to its ability to activate both innate and adaptive immunities.

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Germ cell tumors (GCTs) constitute diverse neoplasms arising in the gonads or extragonadal locations. Testicular GCTs (TGCTs) are the predominant solid tumors in adolescents and young men. Despite cisplatin serving as the primary therapeutic intervention for TGCTs, 10‑20% of patients with advanced disease demonstrate resistance to cisplatin‑based chemotherapy, and epithelial‑mesenchymal transition (EMT) is a potential contributor to this resistance.

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  • Endoscopic ultrasound (EUS) guided coil plus glue injection is a newer, effective method for treating gastric varices, but limited comparisons exist with endoscopic glue injection (EGI).
  • A systematic review analyzed six studies involving 445 patients, showing EUS significantly lowers rebleeding and reintervention rates compared to EGI.
  • No major differences were found between the two methods regarding pulmonary embolism, mortality, technical success, fever, or abdominal pain.
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Objective: To evaluate the impact of counseling and preoperative education on reducing anxiety in patients undergoing surgery for gynecologic cancer.

Methods: In this randomized clinical trial, patients with gynecological tumors undergoing surgical treatment between 15 and 60 days preoperatively, were included. The group was randomized to receive preoperative routine orientation plus preoperative counseling and education by nursing (experimental group [EG]) or receive preoperative routine orientation only (control group [CG]).

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Objective: To determine the characteristics associated with higher online ratings of academic ophthalmologists in Canada.

Design: Retrospective cross-sectional study.

Methods: All ophthalmologists affiliated with Canadian ophthalmology departments were queried in March 2023 using WebMDs.

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  • Stereotactic Brachytherapy Iodine-125 (SBT I-125) is a treatment studied for low-grade gliomas, but the results raise concerns about its safety and effectiveness.
  • A review of 20 studies showed that about 10% of patients had complications and 33% faced mortality, even though some patients were able to remain progression-free for 5 or 10 years.
  • The researchers suggest that more long-term studies and better research methods are needed to understand the true effects of this treatment.
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Aim: The aim of this study was to assess whether the use of sentinel lymph node (SLN) in addition to lymphadenectomy was associated with survival benefit in patients with early-stage cervical cancer.

Methods: International, multicenter, retrospective study.

Inclusion Criteria: cervical cancer treated between 01/2007 and 12/2016 by surgery only; squamous cell carcinoma, adenocarcinoma, adenosquamous carcinoma, FIGO 2009 stage IB1-IIA2, negative surgical margins, and laparotomy approach.

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From the mechanism of action to clinical management: A review of cardiovascular toxicity in adult treated with CAR-T therapy.

Hematol Transfus Cell Ther

September 2024

Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, Brazil. Electronic address:

Article Synopsis
  • * While promising, this therapy poses challenges, including cardiovascular toxicity, with recent studies suggesting a significant risk of side effects related to cytokine release syndrome, which can lead to serious heart complications.
  • * The review discusses the connection between cytokine release syndrome and heart issues from the therapy, examining risk factors for cardiotoxicity and offering guidelines for patient assessments before and after treatment.
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  • Breast cancer is categorized into different subtypes based on hormone receptor status and HER2 expression, with triple-negative breast cancer (TNBC) lacking targeted therapies, highlighting the need for new biomarkers like SOD2.
  • The study analyzed SOD2 staining in 80 breast cancer samples and utilized databases to evaluate its transcriptional patterns across various tumor subtypes.
  • Results indicated that higher SOD2 expression is associated with negative prognostic factors, including specific hormone receptors and tumor characteristics, suggesting SOD2 as a promising therapeutic target for aggressive breast cancer types.
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Background: Data on the efficacy and safety of anti PD-1 antibodies in children and adolescents (CA) with melanoma are lacking. The aim of this study was to determine outcomes of CA melanoma patients receiving anti PD-1 antibodies.

Methods: Melanoma patients ≤18 years treated with anti PD-1 were retrospectively retrieved from 15 academic centers.

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Background: High-grade gliomas (HGG) are the most aggressive primary brain tumors with poor prognoses despite conventional treatments. Immunotherapy has emerged as a promising avenue due to its potential to elicit a targeted immune response against tumor cells.

Objective: This meta-analysis aimed to evaluate the efficacy and safety of various immunotherapeutic strategies, including immune checkpoint inhibitors (ICI), virotherapy, and dendritic cell vaccines (DCV) in treating HGG.

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  • This study aimed to create a conceptual framework to assess the financial hardship experienced by families affected by childhood cancer, addressing the absence of standardized tools that consider diverse global perspectives.
  • Researchers used a group concept mapping approach, engaging parents, survivors, and support staff from 41 countries, focusing particularly on low- and middle-income countries (LMICs).
  • The study identified six key themes related to financial hardship, highlighting significant caregiver and treatment impacts, and noting that the challenges faced in LMICs are more pronounced than those in high-income countries (HICs).
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  • Recent studies compare the effectiveness and safety of endoscopic ultrasound-guided liver biopsy (EUS-LB) to the traditional percutaneous liver biopsy (PC-LB) in collecting liver tissue.
  • A systematic review of randomized controlled trials found that EUS-LB results in lower post-procedure pain while maintaining similar diagnostic effectiveness and safety levels compared to PC-LB.
  • The analysis included data from four trials with 258 patients, suggesting that EUS-LB could be a preferable option due to less pain associated with the procedure.
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Cancer is a complex disease that can also affect the younger population; however, it is responsible for a relatively high mortality rate of children and youth, especially in low- and middle-income countries (LMICs). Besides that, lipidomic studies in this age range are scarce. Therefore, we analyzed blood serum samples from young patients (12 to 35 years) with bone sarcoma (osteosarcoma) and compared their lipidomics to the ones from the control group of samples, named healthy control (HC group), using NMR and LC-MS techniques.

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  • * A new method was developed to detect 16 legacy organochlorine pesticides and various metabolites in serum, using techniques like solid-phase extraction and gas chromatography-tandem mass spectrometry.
  • * The analytical results were promising, showing accurate detection of multiple pesticides, with a proof-of-concept involving 10 volunteers revealing exposure to pesticides at measurable concentrations, aligning with other biomonitoring studies.
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  • Patient safety in healthcare is a critical issue, and integrating patient safety education into undergraduate programs is essential for fostering a safety culture among future professionals.
  • There is a lack of research measuring healthcare students' knowledge and attitudes towards patient safety using reliable tools, prompting this scoping review to fill that gap.
  • The review will systematically analyze data from various studies to identify educational deficiencies and improve curricula, ultimately aiming to enhance the quality of care and better prepare students for real-world healthcare challenges.
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