13757 papers
This retrospective study of Peru's EsSalud system found that while teleconsultations were associated with a significantly lower adjusted use of CT scans compared to in-person care, the proportion of pathological imaging findings remained similar between the two pathways.
This retrospective comparative study demonstrates that transacromial loop plate fixation offers superior clinical outcomes, better maintenance of reduction, fewer complications, and eliminates the need for routine secondary hardware removal compared to the traditional clavicular hook plate for acute high-grade acromioclavicular joint dislocations.
This prospective study validates the DDiVAT smart TV application as a reliable and accurate alternative to the standard ETDRS chart for measuring distance visual acuity in the Bulgarian-speaking population, demonstrating excellent agreement and test-retest reliability while offering a solution to geographic barriers in eye care access.
This randomized controlled trial demonstrates that in patients undergoing posterolateral total hip arthroplasty, a preoperative lumbar erector spinae plane block (ESPB) provides superior early recovery quality, better quadriceps strength preservation, and earlier ambulation compared to a supra-inguinal fascia iliaca compartment block (SFICB).
This case report demonstrates that radiofrequency catheter ablation can be performed safely and effectively in a 3-year-old child with a high-risk concealed para-Hisian accessory pathway through meticulous mapping and individualized, low-power energy delivery.
In advanced breast cancer, repeat comprehensive ctDNA profiling is highly valuable for initially non-contributive samples but yields limited new actionable targets after a successful first assay, suggesting that targeted ESR1 monitoring is a more efficient strategy for patients with prior contributive results.
This randomized waitlist-controlled trial demonstrates that the MindHealth mobile application significantly reduces depressive symptoms among university students in Iraq, offering a scalable and effective solution for mental health support in resource-limited settings.
This study found that while video-observed surgical skills (VOSS) assessments yielded lower overall scores than direct observation among pediatric surgery residents, they demonstrated equivalence across all individual competency domains, supporting VOSS as a feasible alternative for formative assessment in resource-limited settings despite the need for caution in high-stakes decisions.
This retrospective longitudinal cohort study found that while baseline psychological distress was associated with poorer heart-related quality of life and lower questionnaire follow-up participation among cardiac rehabilitation patients, it did not clearly predict documented early programme dropout.
This retrospective cohort study developed and internally validated a nomogram that effectively predicts admission-time cardiogenic shock risk in elderly STEMI patients, demonstrating that a parsimonious model combining Killip classification and age offers a powerful, practical bedside tool comparable in performance to a more complex model incorporating multiple laboratory and echocardiographic parameters.