119 results match your criteria: "St Lawrence College[Affiliation]"

Purpose Of Review: To date, there is relatively limited research investigating changes in red blood cells (RBCs), particularly qualitative changes, in cancer patients and cancer patients receiving treatment. These changes may be important in better understanding cancer-associated anemia, which is the most prevalent hematological disorder in cancer patients with wide-ranging implications on patient care and quality of life. This review aims to summarize available evidence regarding qualitative and quantitative changes in RBCs in individuals with cancer prior to treatment and in patients undergoing treatment.

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Precision Medicine in Rare Bleeding Disorders.

Semin Thromb Hemost

December 2024

Department of Biomedical and Molecular Sciences, School of Medicine, Queen's University, Kingston, Ontario, Canada.

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Article Synopsis
  • Age-Friendly Community Initiatives (AFCIs) are becoming crucial for addressing the needs of the aging population, but there is a lack of effective tools to measure their development and sustainability.
  • This study developed and validated a survey tool for evaluating AFCIs, using interviews and regional workshops to identify key themes and refine survey items.
  • The final survey, confirmed with strong reliability, offers a standardized yet flexible way to assess AFCIs, benefiting community leaders and policymakers in their planning and evaluation efforts.
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The recent report of the first pig kidney transplant in a living human brings hope to thousands of people with end-stage kidney failure. The scientific community views this early success with caution as kidney xenotransplantation exhibits many challenges and barriers. One of these is coagulation dysregulation.

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Article Synopsis
  • Von Willebrand disease (VWD) is the most common genetic bleeding disorder, with platelet-type VWD (PT-VWD) being a rare variant caused by a mutation in the GPIbα receptor leading to increased platelet clearance.
  • PT-VWD is often misdiagnosed as type 2B VWD, despite requiring different treatments; platelet transfusions for PT-VWD versus VWF/FVIII concentrates for type 2B VWD.
  • New synthetic peptide therapies that target the GPIbα-VWF interaction show promise in distinguishing between these conditions and may improve diagnostics and treatment options, although current therapies are limited by cost and efficacy.
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Objectives: Oral liquid medications are frequently prescribed to children because they are easier to swallow than other dosage forms. These pediatric liquid medications (PLMs) have sugars added to them for better compliance or as preservatives. Children with chronic illnesses may frequently consume these medications.

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Most countries that provide for compulsory treatment for mental illness have a system by which this treatment is subject to independent legal oversight. Many countries use a special type of legal body for this purpose, called a mental health tribunal. Mental health tribunals have been subject to criticism from the points of view of both legal professionals and mental healthcare practitioners.

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Background: Concerns about COVID-19-associated coagulopathy (CAC) in pregnant individuals were raised in early pandemic.

Methods: An ISTH-sponsored COVID-19 coagulopathy in pregnancy (COV-PREG-COAG) international registry was developed to describe incidence of coagulopathy, VTE, and anticoagulation in this group.

Results: All pregnant patients with COVID-19 from participating centers were entered, providing 430 pregnancies for the first pandemic wave.

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Khorana score (KS) is an established risk assessment model for predicting cancer-associated thrombosis. However, it ignores several risk factors and has poor predictability in some cancer types. Machine learning (ML) is a novel technique used for the diagnosis and prognosis of several diseases, including cancer-associated thrombosis, when trained on specific diagnostic modalities.

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Background: Organ and Tissue Donation Coordinators (OTDCs) are key to the success of deceased organ donation processes. However, reduced resilience can leave them susceptible to the incidence of work-related issues and decrease the quality of the care provided. Therefore, this study aimed to examine the extent of resilience and influencing aspects among OTDCs in Canada.

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Standardization of definition and management for bleeding disorder of unknown cause: communication from the SSC of the ISTH.

J Thromb Haemost

July 2024

Irish-Australian Blood Collaborative Network, Dublin, Ireland and Perth, Australia; National Coagulation Centre, St. James's Hospital, Dublin, Ireland; Irish Centre for Vascular Biology, School of Pharmacy & Biomolecular Sciences, Royal College of Surgeons in Ireland, Dublin, Ireland.

In many patients referred with significant bleeding phenotype, laboratory testing fails to define any hemostatic abnormalities. Clinical practice with respect to diagnosis and management of this patient cohort poses significant clinical challenges. We recommend that bleeding history in these patients should be objectively assessed using the International Society on Thrombosis and Haemostasis (ISTH) bleeding assessment tool.

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Background: Health, fitness and lifestyle professionals can play important roles in promoting physical activity in groups at risk of developing an inactive lifestyle, such as people with spinal cord injury (SCI). Tailored counselling is a promising tool to promote and improve physical activity levels. To support professionals to effectively have a conversation about physical activity with clients with SCI, evidence-based training and resources are needed.

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Background: Early reports have demonstrated an association of COVID-19 infection during pregnancy and postpartum period with coagulopathy and bleeding complications and indicated that pregnant people with COVID-19 are more likely to experience coagulopathy and venous thromboembolism. A recent report concerning such complications during the first wave of the pandemic was reassuring; however, no publications have evaluated these issues in the context of increased illness severity with the emergence of SARS-CoV-2 variants of concern.

Objectives: We performed a retrospective, multinational cohort study in Canada, Romania, and the United Kingdom, aiming to provide a comprehensive analysis of the hematologic test characteristics of pregnancies affected by COVID-19 after the first wave of the pandemic.

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Venous thromboembolism (VTE) is a common occurrence in cancer and chemotherapy increases thrombosis risk. Current risk assessment models such as the Khorana score (KS) and its modifications have limitations in female cancers. We assessed the coagulation profile of a group of women cancer patients under chemotherapy using thromboelastography (TEG) to determine if this can inform VTE risk assessment.

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Incidence and risk factors of venous and arterial thromboembolic events among patients with ovarian cancer- data from a large Canadian database.

Gynecol Oncol

June 2024

Department of Biomedical & Molecular Sciences, Queen's University, Kingston, ON, Canada; School of Baccalaureate Nursing, St Lawrence College, Kingston, Ontario, Canada; Faculty of Medicine, Mansoura University, Mansoura, Egypt. Electronic address:

Article Synopsis
  • The study aimed to determine how often thromboembolic events (TEEs) occur in ovarian cancer patients and identify key risk factors for venous and arterial thromboembolism.
  • It analyzed data from 4,491 patients with epithelial ovarian cancer in British Columbia from 1996 to 2017, using health records and statistical tests to find correlations.
  • Results showed that 1.74% experienced arterial thromboembolism (ATE) and 9.44% experienced venous thromboembolism (VTE), with sepsis linked to both, indicating the need for distinct assessments for ATE and VTE to enhance prevention strategies.
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Pediatric Oncology Hospice: A Comprehensive Review.

Am J Hosp Palliat Care

December 2024

Healthcare administration program, St Lawrence College, Kingston Campus, ON, Canada.

Pediatric hospice is a new terminology in current medical literature. Implementation of pediatric hospice care in oncology setting is a vast but subspecialized field of research and practice. However, it is accompanied by substantial uncertainties, shortages and unexplored sections.

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Purpose: Assessment of individual VTE risk in cancer patients prior to chemotherapy is critical for determining necessity of interventions. Risk assessment models (RAM) are available but have not been validated for haematological malignancy. We aimed to assess the validity of the Vienna Cancer and Thrombosis Study (V-CATS) score in prediction of VTE in a variety of haematological malignancies.

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ABO Blood Group and the Risk of Thrombosis in Cancer Patients: A Mini-Review.

Semin Thromb Hemost

April 2024

Department of Biomedical and Molecular Sciences, School of Medicine, Queen's University, Kingston, Ontario, Canada.

Cancer-associated thrombosis (CT), especially venous thromboembolism (VTE), is a common occurrence with several factors contributing to a wide diversity in thrombosis risk. The association between ABO blood groups and the risk for CT has been examined in various studies, with non-O blood type associated with an increased thrombosis risk; however, these studies have reported varying results with recognized limitations. ABO blood groups are known to be implicated in hemostasis, in an association mediated through von Willebrand factor (VWF).

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Purpose Of Review: Cancer-associated thrombosis (CAT), such as venous thromboembolism (VTE), is a frequent complication in cancer patients, resulting in poor prognosis. Breast cancer is not highly thrombogenic but is highly prevalent, resulting in increased VTE cases. Many cancers express tissue factor (TF), a glycoprotein that triggers coagulation.

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Objective: The objective of this review was to collate and summarize the current literature on what is known about organ donation following medical assistance in dying (MAiD). For this second part of a 2-part scoping review, the focus is on the existing procedures and processes for organ donation following MAiD.

Introduction: Organ donation following MAiD is a novel and contentious issue worldwide.

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Objective: The objective of this review was to collate and summarize the current literature on what is known about organ donation following medical assistance in dying (MAiD). Additionally, for this first part of a 2-part scoping review, the focus is on legal and ethical considerations regarding organ donation following MAiD.

Introduction: Organ donation following MAiD is a relatively new procedure that has sparked much debate and discussion.

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