13909 papers
This case report describes a fatal outcome in a 57-year-old woman with complicated sigmoid diverticulitis that progressed to extensive retroperitoneal and thigh necrotizing soft-tissue infection, underscoring the critical importance of early imaging and surgical source control despite the challenges of diagnosis and subsequent complications.
This case report describes a patient with myasthenia gravis who developed persistent postoperative hiccups following diaphragmatic plication despite prior phrenic nerve sacrifice, a condition that was successfully resolved with low-dose gabapentin, suggesting that residual sensory pathways can sustain the hiccup reflex even after motor denervation.
This pre-post quasi-experimental study demonstrates that a structured two-day online training program significantly improved knowledge, self-efficacy, and other perception domains regarding AI in medical research among Nigerian medical students and doctors, although ethical concerns remained unchanged and warrant greater emphasis in future interventions.
Based on a time-dependent analysis of the CHARLS cohort from 2011 to 2020, this study demonstrates that arthritis, whether prevalent or incident, serves as an independent and persistent predictor of increased risks for falls, hospitalization, and out-of-pocket medical spending among Chinese adults aged 45 and older, while showing no significant association with cognitive decline.
This retrospective study demonstrates that repeat stereotactic radiosurgery is an effective salvage treatment for locally recurrent brain metastases, identifying specific cumulative dose thresholds (BED10 >177 Gy and EQD2 >75 Gy) that significantly increase the risk of radiation necrosis without improving local control.
This cross-sectional study of Bangladeshi adults with diabetes reveals a significant knowledge–practice gap regarding the bidirectional relationship between periodontal health and diabetes, characterized by generally favorable attitudes but poor knowledge and inadequate oral hygiene practices, highlighting the urgent need for integrated oral health education and preventive care within diabetes management services.
This randomized controlled trial demonstrates that while adding peripheral nerve stimulation to ultrasound guidance for supraclavicular brachial plexus blocks does not improve success rates or onset time, it significantly increases procedural duration due to frequent needle re-adjustments, suggesting that ultrasound guidance alone is sufficient for efficient and effective block performance.
This study found that the predicted fat mass index (pBFMI) showed a heterogeneous association with incident stroke across three national ageing cohorts—positively linked in CHARLS but not in ELSA or HRS—and offered no material improvement in model fit or discrimination over BMI.
This study demonstrates that a low-cost, non-living bovine penile model effectively simulates penile fracture repair, offering high perceived realism and significantly increasing trainee confidence despite limited prior operative experience.
This 7-year prospective cohort study of 4,161 Chinese older adults reveals that while depression independently predicts activities of daily living (ADL) disability and low grip strength predicts mortality, the co-occurrence of depression and sarcopenia confers the highest additive risk for both adverse outcomes, particularly among adults aged 60–69.