188 results match your criteria: "National Institutes of Health Library[Affiliation]"

Although there is an emerging body of evidence that addresses the adverse health outcomes of individuals with sickle cell trait (SCT), it is not clear if the findings are generalizable from a sex and gender perspective. The purpose of this scoping review was to complete an assessment of main concepts, identify knowledge gaps, and determine the potential value of conducting an eventual systematic review. The research question guiding this scoping review is: In SCT individuals with adverse health outcomes, what is known about sex and gender differences? We conducted a scoping review of research on SCT from 2016 to 2022 across five databases, with 36 research studies included in the review.

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-related Proteus syndrome is an ultra-rare mosaic overgrowth disorder with tumour predisposition. We conducted a systematic review to determine the range and characteristics of these tumours. A systematic review was conducted to identify clinical reports and clinical series of Proteus syndrome published between 1983 and 2023.

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Purpose: ATM germline pathogenic variants (GPVs) are associated with a moderately increased risk of female breast cancer, pancreatic cancer, and prostate cancer. Resources for managing ATM heterozygotes in clinical practice are limited.

Methods: An international workgroup developed a clinical practice resource to guide management of ATM heterozygotes using peer-reviewed publications and expert opinion.

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Introduction: Many Americans fail to receive equitable access to or positive outcomes from rehabilitation services. These disparities result from broader societal inequities that disproportionately affect certain groups of people due to non-medical factors such as race, gender, education and living status. This scoping review aims to describe research papers that examine social determinants of health (SDOH) that underlie disparities in access to, use of, or outcomes related to rehabilitation (in occupational therapy, physical therapy, recreational therapy, rehabilitation medicine/physiatry and speech-language pathology) among adults in the USA.

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  • Radiation therapy is a common treatment for primary brain tumors, but it may lead to significant sleep disorders that haven't been fully explored.
  • A systematic review analyzed 38 studies involving nearly 2,948 patients, finding a high incidence of sleep disturbances particularly from the end of radiation to six months afterward, linked to radiation dosage.
  • The review calls for more research on sleep disorders in patients with primary brain tumors and suggests that pharmacological interventions can help manage sleep symptoms, despite inconsistencies in how these symptoms are reported across studies.
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Systematic review of associations between anxiety, depression, and functional/biological aging among cancer survivors.

JNCI Cancer Spectr

November 2024

Basic Biobehavioral and Psychological Sciences Branch, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD 20850, United States.

Background: Evidence suggests a mind-body component to aging through which psychological distress from anxiety and depression drives molecular changes that promote early decline (ie, accelerated aging). Cancer survivors experience particularly high rates of anxiety and depression. Some survivors also have accelerated aging, though the relationships between anxiety and depression and aging are not clear.

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  • Studies on children conceived through assisted reproductive technologies (ART) like IVF and ICSI have shown inconsistent results regarding their blood pressure compared to naturally conceived children.
  • This systematic review and meta-analysis aimed to clarify whether ART leads to higher blood pressure, which has important public health implications.
  • Out of 5082 records, 79 studies were reviewed, finding no significant differences in systolic or diastolic blood pressure between ART and non-ART groups, although results showed considerable variability.
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The effect of alcohol, tobacco, and other drug use on vaccine acceptance, uptake, and adherence: a systematic review.

Alcohol Alcohol

September 2024

Clinical Psychoneuroendocrinology and Neuropsychopharmacology Section, Translational Addiction Medicine Branch, National Institute on Drug Abuse Intramural Research Program and National Institute on Alcohol Abuse and Alcoholism Division of Intramural Clinical and Biological Research, National Institutes of Health, 251 Bayview Blvd, Suite 200, Baltimore, MD 21224, United States.

Background: Vaccine hesitancy is increasingly recognized as a health challenge affecting populations worldwide. Given the biological vulnerabilities and structural barriers people who use substances and/or have behavioral addictions face, this systematic review aims to evaluate whether this subpopulation is less prone to adhere to vaccination recommendations.

Methods: Electronic searches of published original research were conducted in PubMed, EMBASE, Scopus, and PsycINFO from database inception to December 2022.

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  • Surgical biopsy (SB) has traditionally been used for diagnosing pediatric solid tumors, but newer image-guided techniques like core needle biopsy (CNB) show promise due to lower risks and similar diagnostic accuracy.
  • A systematic review of studies from 2010 to 2023 included 27 studies with nearly 2,500 pediatric patients and compared complication rates and diagnostic efficacy of CNB versus SB across various tumor types.
  • Results indicated that while CNB had a 90.8% diagnostic success rate and much lower complication rate (2.9%) compared to SB (21.4% complication rate), the overall diagnostic success was notably higher for SB (98.8%).
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The associations of muscle-strengthening exercise with recurrence and mortality among breast cancer survivors: a systematic review.

Int J Behav Nutr Phys Act

September 2024

Health Equity and Decision Sciences Research Laboratory, Division of Intramural Research, National Institute of on Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD, 20892, USA.

Background: Our systematic review aimed to critically evaluate empirical literature describing the association of muscle-strengthening exercise (MSE) with recurrence and/or mortality among breast cancer survivors.

Methods: We included English-language empirical research studies examining the association between MSE and recurrence and/or mortality among females diagnosed with breast cancer. Seven databases (MEDLINE, PsycINFO, Embase, Scopus, Web of Science, Cochrane CENTRAL, and CINAHL) were searched in September 2023.

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Seeing in Color: Inclusion and Characterization of Hereditary Eye Disease in African Americans.

Transl Vis Sci Technol

September 2024

Ophthalmic Genetics and Visual Function Branch, National Eye Institute, National Institute of Health, Bethesda, MD, USA.

Purpose: Hereditary eye diseases (HEDs) are individually rare but affect millions globally. The era of molecular genetics has ushered major advances in the study of these disorders; however, the inclusivity and population diversity of this research is unknown. Questions on the accuracy and applicability of these findings in diverse populations, especially African American patients, came up consistently during counselling sessions.

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Background: Cancer-related cognitive impairment (CRCI) is a prevalent condition that significantly impacts the quality of life of individuals who receive cancer treatment. Clinical management of CRCI presents challenges due to the absence of a standardized assessment. This study identified clinically relevant phenotypic clusters of CRCI based on subjective and objective cognitive function scores.

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The reporting of social determinants of health in pediatric dermatology clinical trials: a systematic review.

Int J Womens Dermatol

October 2024

Dermatology Section, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, Maryland.

Background: Despite the acknowledgment of the importance of social determinants of health (SDOH) on clinical outcomes, few clinical trials provide information about SDOH. Including these markers in pediatric dermatologic clinical trials may lead to improved care and novel observations about the disease.

Objective: Using a systematic review, assess the use of SDOH in pediatric dermatology clinical trials.

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Background: Breast cancer is comprised of distinct molecular subtypes. Studies have reported differences in risk factor associations with breast cancer subtypes, especially by tumor estrogen receptor (ER) status, but their consistency across racial and ethnic populations has not been comprehensively evaluated.

Methods: We conducted a qualitative, scoping literature review using the Preferred Reporting Items for Systematic Reviews and Meta-analysis, extension for Scoping Reviews to investigate consistencies in associations between 18 breast cancer risk factors (reproductive, anthropometric, lifestyle, and medical history) and risk of ER-defined subtypes in women who self-identify as Asian, Black or African American, Hispanic or Latina, or White.

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  • Septic shock leads to increased end-diastolic volume (EDV) and decreased ejection fraction in survivors, unlike nonsurvivors, whose EDV does not increase due to more severe diastolic dysfunction early in the condition.* -
  • In a study with beagles, findings indicate that septic animals experienced significant heart issues, including wall edema and thinning, resulting in decreased heart performance, particularly in nonsurvivors during the initial phase of sepsis.* -
  • The research suggests that cardiac dysfunction during sepsis is connected to microvascular injury and edema, with important implications for understanding heart changes and recovery in septic patients.*
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Background: Breast cancer consists of distinct molecular subtypes. Studies have reported differences in risk factor associations with breast cancer subtypes, especially by tumor estrogen receptor (ER) status, but their consistency across racial and ethnic populations has not been comprehensively evaluated.

Methods: We conducted a qualitative, scoping literature review using the Preferred Reporting Items for Systematic Reviews and Meta-analysis, extension for Scoping Reviews to investigate consistencies in associations between 18 breast cancer risk factors (reproductive, anthropometric, lifestyle, and medical history) and risk of ER-defined subtypes in women who self-identify as Asian, Black or African American, Hispanic or Latina, or White.

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Purpose: Cancer-related fatigue (CRF) is challenging to diagnose and manage due to a lack of consensus on its definition and assessment. The objective of this scoping review is to summarize how CRF has been defined and assessed in adult patients with cancer worldwide.

Methods: Four databases (PubMed, Embase, CINAHL Plus, PsycNet) were searched to identify eligible original research articles published in English over a 10-year span (2010-2020); CRF was required to be a primary outcome and described as a dimensional construct.

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  • Septic shock causes significant cardiac dysfunction in both humans and animal models, characterized by increased biventricular end diastolic volume and decreased ejection fraction, with these abnormalities developing over the course of two days and generally reversing by day ten.
  • In a study involving purpose-bred beagles, septic animals showed greater left ventricular wall edema and dysfunction compared to controls, with non-survivors displaying more severe changes in cardiac function and size.
  • The differential changes in cardiac volume and function between survivors and non-survivors suggest that septic shock impacts heart performance significantly, but the exact mechanisms behind these differences remain unclear.
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  • * A systematic review analyzed 48 studies out of 3006 abstracts to explore the relationship between SDOH and neurocognitive/mood-related symptoms in PBT patients, focusing on various factors like education, gender, and occupation.
  • * The findings indicated that higher education correlated with fewer neurocognitive symptoms and that unemployment post-surgery linked to depressive symptoms, but overall results were inconsistent; future research should standardize SDOH data collection and focus on diverse populations.
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