13805 papers
This case report and literature review highlight the clinical significance of contralateral metachronous recurrence of ovarian mature teratoma in children, emphasizing the necessity of rigorous long-term ultrasound surveillance and individualized follow-up protocols to enable early detection and fertility-sparing intervention.
This retrospective study of 273 elderly patients demonstrates that specific autonomic deficits associated with supine hypertension and orthostatic hypotension involve distinct baroreflex and heart rate variability impairments that are potentially addressable through nonpharmacological heart rate variability biofeedback.
This retrospective study of 112 chronic stroke patients demonstrates that routine outpatient contralesional 1 Hz rTMS combined with conventional therapy significantly reduces spasticity and yields modest motor improvements correlated with baseline severity, while showing no association with time since stroke, thereby supporting the treatment's real-world efficacy and challenging its exclusion based on chronicity.
This multicounty time-series study in Guangxi, China, reveals that meteorological factors exhibit distinct nonlinear, lagged, and geographically heterogeneous associations with varicella incidence, underscoring the need for tailored local risk assessment and surveillance strategies.
This single-center retrospective study of 19 patients demonstrates that the posterior (Kraske) approach is a safe and effective surgical treatment for tailgut cysts, offering minimal complications and high satisfaction, while highlighting that multilobular morphology is a key risk factor for recurrence and diagnostic challenges.
This mixed-methods pilot study of pre-vaginoplasty trans women on hormone therapy reveals that while general well-being strongly predicts depressive symptoms, a specific narrative congruence regarding intimacy is more closely linked to sexual function and the desire for surgery, supporting a dual-pathway model for pre-operative counseling that distinguishes between mood management and surgical motivation.
A 2024 nationwide survey of German hospitals reveals that Antimicrobial Stewardship implementation profiles are primarily driven by the availability of dedicated personnel and specialized expertise, creating a divide between resource-intensive activities and legally mandated measures, while hospital size—not university status—correlates with advanced program development.
This paper presents a novel case of a 30-year-old male with comorbid alcohol and kratom use disorders who experienced acute withdrawal precipitated by concurrent naltrexone and kratom ingestion, while also discussing the potential role of buprenorphine/naloxone in managing kratom dependence.
This prospective observational study of 66 patients in India demonstrates that the admission APACHE II score is a significant predictor of in-hospital mortality in perforation peritonitis, showing high specificity (95.9%) at a cut-off of ≥20, which makes it a useful bedside tool for risk stratification and prioritizing critical care, despite its modest sensitivity.
This retrospective study utilizing cone-beam computed tomography and three-dimensional fractal analysis reveals that while the radiographic trabecular pattern at Le Fort I osteotomy sites shows a significant decrease in fractal dimension six months post-surgery, the magnitude of this change remains consistent across different anatomical sites, regions, and sides, suggesting that fractal dimension serves as a complementary imaging metric rather than a direct indicator of bone healing.