All providers agreed that MyPref made them think about patient's preferences and 9 (75%) reported they planned to change their approach to discussions about preferences for future treatments.
MyPref is an objective way to estimate AYA and PTP preferences for future treatment characteristics. This novel tool may be a useful way to engage AYAs and PTPs in discussions around preferences for treatment and prepare AYAs for future decision-making. We are currently evaluating this tool longitudinally to determine the impact on actual treatment decisions.
MyPref is an objective way to estimate AYA and PTP preferences for future treatment characteristics. This novel tool may be a useful way to engage AYAs and PTPs in discussions around preferences for treatment and prepare AYAs for future decision-making. We are currently evaluating this tool longitudinally to determine the impact on actual treatment decisions.
Neoadjuvant therapy (NT) is increasingly being offered to patients with pancreatic ductal adenocarcinoma (PDAC) prior to surgical resection. However, the experience and quality of life (QOL) of patients undergoing NT are poorly understood.
A systematic review of the Cinahl, Embase, Medline, Pubmed, Scopus, and Web of Science databases was conducted to evaluate the available literature pertaining to the experience and QOL of patient's undergoing NT for PDAC.
Among 6041 articles screened, only six met criteria for full-text review including three prospective clinical trials of NT with QOL secondary endpoints. Overall, global QOL during or following NT did not significantly change from baseline. Pain scores seemed to improve during NT while the impact of NT on physical functioning varied across studies. No studies were identified evaluating other aspects of the patient experience.
Although NT appears to have a minor impact on the QOL of patients with PDAC, this systematic review identified significant evidence gaps in the literature. Selinexor A protocol of a prospective observational cohort study utilizing a digital smartphone app that aims to evaluate the patient experience and longitudinal QOL of patients with PDAC undergoing NT is presented.
Although NT appears to have a minor impact on the QOL of patients with PDAC, this systematic review identified significant evidence gaps in the literature. A protocol of a prospective observational cohort study utilizing a digital smartphone app that aims to evaluate the patient experience and longitudinal QOL of patients with PDAC undergoing NT is presented.We assessed the levels of Pb, Cd, and Mn in contour feathers of the feral pigeon (Columba livia) and house crow (Corvus splendens) obtained from five urban/suburban locations across Sri Lanka, using the AAS following wet digestion. Our key objectives were to compare accumulation levels in the two avian species with different foraging habits and living in common locations, and to establish baseline information on the presence of these metals in multiple locations in Sri Lanka with varying levels of urbanization. Owing to reservations that have been expressed by previous workers regarding the use of feathers for assessing heavy metal pollution, we first tested the efficacy of contour feathers by using our data for comparing the coefficients of variation in metal levels within and between locations. This showed that in over 95% of the cases, variations within locations were lower than between locations, indicating that freshly shed contour feathers that were used in the present study were reliable indicators of the status of bioaccumulation of the heavy metals in the environment. In interspecific comparisons, other than in the two suburban locations, Pb was present at much higher levels in the house crow than in the feral pigeon, whereas accumulation patterns with respect to Cd and Mn were inconsistent, suggesting that granivores may not, in all situations, accumulate lower levels than scavengers in the same environment. Owing to such interspecific variations in the patterns of accumulation of different heavy metals, the selection of a single species for assessing levels of pollution from heavy metals may not be prudent. Pb and Cd levels in both species were strongly and positively associated with human population density. The levels of Pb and Cd were highest in Colombo (commercial capital). In Colombo and Kalutara, the recorded levels in the house crow exceeded the thresholds that have the potential to inflict adverse impacts on avian species.
To demonstrate that Špišić's photographs were used as a tool in representing the strategies and public health position of orthopaedics as an emerging medical specialty in Croatia in the period from 1915 to 1917.
Formal and contextual analysis of photographs included in the book How we help our invalids Images from our orthopaedic hospital and courses for disabled people, which was published in 1917 by the founder of orthopaedics in Croatia Božidar Špišić (1879-1957), as well as historical documents and articles.
Špišić's 102 photographs cover all phases of the rehabilitation of disabled war veterans and depict them holistically and during typical everyday activities.
Špišić's visualization of disabled veterans attempted to demonstrate the transformation and reactivation of disabled bodies, using them as a persuasive tool in the rehabilitation not only of individuals, but of the society as a whole.
Špišić's visualization of disabled veterans attempted to demonstrate the transformation and reactivation of disabled bodies, using them as a persuasive tool in the rehabilitation not only of individuals, but of the society as a whole.
Aβ1-42-induced neurotoxicity has been considered as a possible mechanism to aggravate the onset and progression of Alzheimer's disease (AD). In this study, we aim to determine the protective effect of DMDD on the apoptosis of SH-SY5Y cells induced by Aβ1-42 and elucidate potential mechanism of DMDD's protective function in apoptosis.
CCK-8, AnnexinV-FITC/PI flow cytometry, and transmission electron microscopy analysis were used to determine the protection of DMDD on Aβ1-42-evoked apoptosis of SH-SY5Y cells. Cytochrome c release, JC-1 staining, and measuring the protein of Bcl-2 family by Western blot were applied to elucidate the mechanism of DMDD's protective function in apoptosis.
Three concentration of DMDD (5μmol/L, 10μmol/L, and 20μmol/L) rescues the cell viability loss and apoptosis of SH-SY5Y cells cultivated in Aβ1-42. The expressions of cleaved Caspase-3, -8, -9, the cytochrome c release, and mitochondrial membrane potential loss were inhibited by DMDD in Aβ1-42-insulted SH-SY5Y cells. The Western blot analysis showed that DMDD pretreatment clearly downregulated the protein of Bax and upregulated Bcl-2.