13805 papers
This study demonstrates that in adolescents with major depressive disorder, the link between internet addiction and non-suicidal self-injury is primarily mediated by a sequential pathway where addiction first exacerbates insomnia, which in turn worsens depressive symptoms, ultimately increasing self-injury risk.
This retrospective matched cohort study reveals that specialist palliative care is significantly underutilized in acute ischemic stroke patients despite high symptom burdens, identifying severe functional impairment, dysphagia, and care planning difficulties as key clinical triggers for referral.
This study developed and internally validated a nomogram prediction model based on operative time, diabetes mellitus, preoperative indwelling catheterization, urinary catheter retention time, and pathologic diagnosis to effectively forecast the risk of postoperative systemic inflammatory response syndrome in patients undergoing radical prostatectomy.
This randomized clinical study found that while 3D-printed Graphy TC-85 resin exhibits the highest initial flexural strength, thermoformed PETG aligners demonstrate significantly superior retention of flexural strength and resistance to intraoral degradation over a 14-day wear period compared to both Graphy and TPU materials.
This propensity-matched federated cohort study found that recorded preoperative exposure to central nervous system stimulants is associated with a modestly increased risk of postoperative atrial fibrillation or flutter following coronary artery bypass grafting, though the observational nature of the data precludes establishing causality.
This case report demonstrates that single-port inflatable video-assisted mediastinoscopic transhiatal esophagectomy (SP-IVMTE) is a feasible and safe surgical alternative for esophageal cancer patients with severely compromised pulmonary function who cannot tolerate traditional transthoracic esophagectomy requiring one-lung ventilation.
This study presents the first Malaysian series of robotic metabolic and bariatric surgery, revealing a learning curve breakpoint at approximately 30 cases but demonstrating no significant superiority over laparoscopic surgery in terms of major complications or 12-month weight loss, despite a persistent 54-minute operative time premium.
This retrospective cohort study of 126 Parkinson's disease patients utilized landmark analysis to demonstrate that while age at onset and H-Y stage are robust predictors of milestone events, the apparent protective effect of longer disease duration is a statistical artifact of left truncation, revealing that primary cumulative incidence estimates likely represent upper bounds.
This study demonstrates that nigral iron accumulation in Parkinson's disease is spatially coupled with normative mitochondrial maps and oxidative stress-related gene expression, providing a molecular framework for selective neuronal vulnerability in subcortical regions.
This case report describes the successful transvenous extraction of a 20-year-old dual-coil passive-fixation ICD lead from an 85-year-old patient with a pocket infection using a rotational mechanical dilator sheath after laser sheath failure, followed by the implantation of a subcutaneous ICD.