3901 papers
This case report describes a 31-year-old male with extreme hyperferritinemia and fever of unknown origin who was successfully diagnosed with Adult-Onset Still's Disease and treated with corticosteroids followed by Tocilizumab, underscoring the critical importance of early recognition and targeted therapy to prevent severe complications like macrophage activation syndrome.
This interpretive qualitative study explores the phenomenon of "rest shame" among clinical nursing postgraduates, revealing how dual-role pressures and organizational norms create psychological conflict and overwork, while recommending institutional and cultural shifts to reframe rest as compatible with professional excellence.
This cross-sectional study found that while ChatGPT generates clear, generally accurate, and patient-friendly responses regarding pathological fractures from plasma cell tumors, it demonstrates limited depth and consistency in complex multidisciplinary clinical scenarios.
This co-designed qualitative study reveals that the inconsistent implementation of reasonable adjustments across the learning disability annual health check pathway stems from reactive rather than proactive approaches involving personal, professional, and organizational factors, highlighting the need for system-level changes to effectively reduce health inequalities.
This mixed-methods study evaluating Nepal's primary healthcare system readiness for non-communicable disease management between 2020 and 2022 reveals that while readiness varies by facility type and region, overall capacity remains insufficient due to critical shortages in equipment, medicines, trained staff, and guidelines, necessitating targeted government interventions to strengthen infrastructure and supply chains.
This study of 330 women in Nakuru City, Kenya, reveals that while personal hygiene knowledge is adequate, menstrual waste disposal is predominantly high-risk due to infrastructural deficits, and the adoption of sustainable alternatives is hindered by low awareness, cultural taboos, and negative attitudes toward reusable products.
This prospective cohort study conducted in Georgia demonstrates that prenatal maternal stress, characterized by elevated salivary cortisol levels, is significantly associated with poorer physical growth and lower neurodevelopmental scores in infants during their first year of life.
This national repeated cross-sectional study of Korea from 1998 to 2024 reveals a mixed nutrition transition characterized by reduced carbohydrate and sodium intake but a concerning shift toward higher fat consumption, decreased fruit and vegetable adequacy, and persistent micronutrient vulnerabilities, underscoring the need for policies that prioritize overall dietary quality beyond simple energy balance or sodium reduction.
A population-based cohort study in Western Australia reveals that mothers with psychotic illness face a significantly elevated risk (approximately 12 times higher) of assault-related hospitalization compared to those without mental illness, underscoring the critical need for routine violence screening and trauma-informed care in perinatal and psychiatric services.
This study demonstrates that performing conservative tangential excision combined with xenogeneic dermal grafting within 12 to 24 hours post-burn for extensive critical burns effectively maintains hemodynamic stability, reduces fluid resuscitation needs and systemic inflammation, and improves clinical outcomes by lowering infection rates, surgical requirements, and hospital stay duration.