13396 papers
This study reveals that sweetened areca nut (pani-puwak) sold in Sri Lanka's Kandy district is significantly contaminated with aflatoxins at levels exceeding European Union limits, thereby adding a critical carcinogenic risk to a product already linked to oral cancer.
This cross-sectional survey of private-sector physicians in Nigeria reveals that while most are aware of antimicrobial resistance and eager for stewardship training, significant gaps in formal education and structural barriers like limited diagnostics and regulatory issues hinder optimal prescribing practices.
This study of early-treated African children with HIV reveals that females experience faster viral decay and lower immunological progression compared to males, highlighting sex as a significant determinant of pediatric HIV disease trajectories despite limited evidence on reservoir size and adherence differences.
This case report describes a rare fibrocartilaginous mesenchymoma of the distal femur in a 14-year-old boy, highlighting the diagnostic challenge of distinguishing it from low-grade central osteosarcoma due to focal MDM2 and CDK4 expression despite the absence of MDM2 amplification, which was confirmed through integrated morphological and molecular analysis.
This study demonstrates that maternal antibodies against the full-length *Plasmodium falciparum* circumsporozoite protein and specific epitopes are efficiently transferred to newborns in Ghana, suggesting that maternal vaccination could further enhance this protective transfer.
This Brazilian multicentre study demonstrates that the VICTO adjustable artificial urinary sphincter is a safe and effective treatment for male stress urinary incontinence, achieving a 72% social continence rate and high patient satisfaction with a complication profile comparable to the gold standard.
This prospective observational study found that while radical (chemo)radiotherapy for head and neck cancer induced some transient changes in heart rate and blood pressure variability, conventional autonomic reflex tests showed no significant deterioration in cardiovascular autonomic function within six months of treatment.
This randomized, double-blind, placebo-controlled trial demonstrates that perioperative low-dose dexmedetomidine significantly reduces the incidence, severity, and duration of postoperative delirium while improving analgesia, lowering opioid consumption, and shortening hospital stays in older adults undergoing hip fracture surgery.
In a double-blind, sham-controlled crossover pilot study involving 10 patients with bilateral vestibulopathy, subperceptual noisy galvanic vestibular stimulation failed to significantly improve standing balance, gait, or functional mobility, suggesting it is not an effective treatment for this condition.
This retrospective feasibility pilot study demonstrates that a HIPAA-compliant, cloud-based pipeline can successfully aggregate, de-identify, and standardize multi-clinic naturopathic EHR data into a research database capable of characterizing patient populations, extracting treatment patterns, and detecting clinically meaningful longitudinal changes in health outcomes.