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orixwp

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Recursos

BALLOON AORTIC VALVULOPLASTY WITH VALVER BALLOON CATHETER IN ADULTS WITH SEVERE AORTIC STENOSIS AS A BRIDGE OR PALLIATIVE TREATMENT

Wiad Lek. 2021;74(7):1622-1627.ABSTRACTOBJECTIVE: The aim: We aimed to assess the feasibility and safety of performing balloon aortic valvuloplasty (BAV) with Valver balloon catheter (Balton, Poland) in adults with severe aortic stenosis as a bridge or palliative treatment.PATIENTS AND METHODS: Materials and methods: We identified consecutive patients who underwent BAV procedures between May 2019 and March 2020 using Valver balloon catheters. Demographic data, medical history, and clinical characteristics were retrospectively collected in all study patients together with periprocedural data as well as 12-month follow-up data.RESULTS: Results: We included 18 patients. The mean population age was 78.1±8.9 years, and women were 61.1%.…
Origen: BALLOON AORTIC VALVULOPLASTY WITH VALVER BALLOON CATHETER IN ADULTS WITH SEVERE AORTIC STENOSIS AS A BRIDGE OR PALLIATIVE TREATMENT – PubMed

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Nutritional Support Indications in Gastroesophageal Cancer Patients: From Perioperative to Palliative Systemic Therapy. A Comprehensive Review of the Last Decade

Nutrients. 2021 Aug 12;13(8):2766. doi: 10.3390/nu13082766.ABSTRACTGastric cancer treatments are rapidly evolving, leading to significant survival benefit. Recent evidence provided by clinical trials strongly encouraged the use of perioperative chemotherapy as standard treatment for the localized disease, whereas in the advanced disease setting, molecular characterization has improved patients’ selection for tailored therapeutic approaches, including molecular targeted therapy and immunotherapy. The role of nutritional therapy is widely recognized, with oncologic treatment’s tolerance and response being better in well-nourished patients. In this review, literature data on strategies or nutritional interventions will be critically examined, with particular regard to different treatment phases (perioperative, metastatic,…
Origen: Nutritional Support Indications in Gastroesophageal Cancer Patients: From Perioperative to Palliative Systemic Therapy. A Comprehensive Review of the Last Decade – PubMed

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Palliation of malignant dysphagia with a segmented self-expanding metal stent: A STROBE-compliant article

Medicine (Baltimore). 2021 Aug 27;100(34):e27052. doi: 10.1097/MD.0000000000027052.ABSTRACTSelf-expanding metal stents (SEMSs) in different geometric shapes are an established palliative treatment for malignant tumors of the esophagus. Mechanical properties and stent design have an impact on patient comfort, migration rate, and removability. SEMS with a segmented design (segSEMS) have recently become available on the market, promising new biomechanical properties for stent placement in benign and malignant esophageal diseases. In this study, we evaluated recurrent dysphagia, quality of life as well as technical success and complications for segmented SEMS-implantation in a retrospective study in palliative patients with dysphagia caused by malignant tumors of…
Origen: Palliation of malignant dysphagia with a segmented self-expanding metal stent: A STROBE-compliant article – PubMed

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Delivering Community Emergency Medicine during the COVID-19 pandemic: the Physician Response Unit

Emerg Med J. 2021 May;38(5):371-372. doi: 10.1136/emermed-2020-210112.ABSTRACTThe COVID-19 pandemic has presented significant challenges to services providing emergency care, in both the community and hospital setting. The Physician Response Unit (PRU) is a Community Emergency Medicine model, working closely with community, hospital and pre-hospital services. In response to the pandemic, the PRU has been able to rapidly introduce novel pathways designed to support local emergency departments (EDs) and local emergency patients. The pathways are (1) supporting discharge from acute medical and older people’s services wards into the community; (2) supporting acute oncology services; (3) supporting EDs; (4) supporting palliative care services.…
Origen: Delivering Community Emergency Medicine during the COVID-19 pandemic: the Physician Response Unit – PubMed

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Palliative Oncological Patients with Insomnia: Concerns of the Patients and Their Relatives' Perception

Int J Environ Res Public Health. 2021 Aug 12;18(16):8509. doi: 10.3390/ijerph18168509.ABSTRACTInsomnia is one of the most frequent symptoms and usually generates significant stress in 60% of patients with advanced cancer. Worries from the patients’ and relatives’ perspective are crucial to improve the patients’ quality of life but have received limited attention. The aims were to identify the concerns of patients with insomnia in the terminal illness stage in a palliative care unit and the relatives’ perception, and to compare both. Here, 63 patients and 53 relatives answered a questionnaire about worries in the personal, spiritual, family-related and economic area, as…
Origen: Palliative Oncological Patients with Insomnia: Concerns of the Patients and Their Relatives' Perception – PubMed

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