13805 papers
This case report highlights the diagnostic challenge of identifying an ectopic ureter in adult patients with coexisting stress urinary incontinence, demonstrating that a shift from intermittent to continuous urinary leakage warrants a comprehensive reassessment involving imaging and cystoscopy to prevent missed diagnoses.
This systematic review and meta-analysis of 12 studies involving 6,383 adults in Ethiopia reveals a pooled chronic energy deficiency prevalence of 23% among people living with HIV, highlighting significant associations with socioeconomic disadvantage, food insecurity, poor dietary diversity, and adverse clinical conditions despite substantial heterogeneity across the included research.
This qualitative field study applies Alderfer's ERG theory to analyze the multidimensional and dynamic needs of surgical patients in the Post-Anesthesia Care Unit, revealing a predominance of existence needs and a non-linear progression of care requirements that informs responsive nursing strategies.
This study provides the first evidence from the Democratic Republic of the Congo showing that nearly half of inmates at Kindu Central Prison suffer from clinically significant insomnia and over 70% experience poor sleep quality, both of which are strongly associated with the cumulative burden of adverse living conditions.
This technical note describes a step-by-step endoscopic transsphenoidal technique utilizing preemptive interdural dissection to achieve controlled resection of the cavernous sinus medial wall in functioning pituitary neuroendocrine tumors, resulting in high rates of gross total resection and biochemical remission with a favorable safety profile.
This retrospective cohort study of over 5,000 individuals undergoing trial of labor after cesarean (TOLAC) found that intrapartum amnioinfusion was not associated with an increased risk of uterine rupture, suggesting it is a safe option for managing repetitive variable decelerations in this population, although larger studies are needed to confirm these findings.
In resected clinically node-positive EGFR-mutant non-small cell lung cancer, the L858R mutation subtype is associated with a less favorable postoperative course and higher rates of brain recurrence compared to the Del19 mutation, while frequent nodal upstaging from clinical N1 to pathological N2 underscores the need for careful nodal assessment and risk stratification based on both mutation subtype and pathological burden.
This longitudinal study of Chinese adults with stroke identified two multidimensional health profiles, revealing that a high-burden profile characterized by functional disabilities, depressive symptoms, and sleep abnormalities is associated with poorer baseline cognitive performance but does not significantly accelerate the rate of longitudinal cognitive decline.
This single-center case series of 11 patients with Moyamoya disease-associated peripheral cerebral aneurysms demonstrates that while pre-revascularization aneurysms often require parent artery occlusion due to a high risk of delayed rebleeding, post-revascularization aneurysms may resolve with additional revascularization or observation, ultimately leading to successful aneurysm obliteration in 10 of 11 patients.
In patients with heart failure with reduced ejection fraction, a single-centre retrospective study found that angiotensin receptor–neprilysin inhibitor (ARNI) therapy resulted in significantly greater improvements in left atrial strain and a lower incidence of major adverse cardiovascular events compared to perindopril over a six-month period.