13909 papers
This study evaluates the quality of patient education on robot-assisted radical prostatectomy generated by ChatGPT, DeepSeek, and Doubao, finding that while all models provide factually accurate information suitable for clinician review, ChatGPT offers superior actionability and completeness, though none fully replace the need for individualized urologist counseling.
This study demonstrates that patients with vasovagal syncope exhibit a significant increase in prolactin levels during head-up tilt testing, which correlates with hemodynamic changes and suggests a potential role for the central serotonergic system in the condition's pathophysiology, while growth hormone levels remain unchanged.
This case report describes a rare instance of indolent postoperative endophthalmitis caused by multidrug-resistant *Enterobacter hormaechei* in a patient with central retinal vein occlusion, highlighting the diagnostic utility of metagenomic next-generation sequencing for identifying low-abundance pathogens and the necessity of pars plana vitrectomy when intravitreal antibiotics fail to resolve persistent vitreous opacity.
This CHARLS cohort study of 11,050 middle-aged and older Chinese adults reveals that persistent short sleep, rather than variable short sleep, is independently associated with an increased risk of incident cardiovascular events, with the highest risk observed in individuals exhibiting both persistent short sleep and high metabolic risk scores, particularly among women.
This case report describes a rare instance of complete transcutaneous skin perforation by a protruding xiphoid process in a bedbound patient with cervical myelopathy and diabetes, which was successfully treated with xiphoidectomy and targeted antimicrobial therapy while highlighting the importance of distinguishing reactive pseudoepitheliomatous hyperplasia from malignancy.
This meta-analysis of randomized controlled trials indicates that while radial artery grafts reduce complete anatomical occlusion compared to saphenous vein grafts, their overall superiority is limited by a higher risk of functional occlusion due to competitive flow, suggesting that conduit selection should be individualized based on patient and vessel characteristics.
This randomized controlled trial involving 180 patients demonstrates that Thulium fiber laser lithotripsy in mini-PCNL offers significantly superior stone disintegration speed and stone-free rates compared to Holmium:YAG laser, while maintaining a comparable overall safety profile despite a slightly higher hemoglobin drop.
This retrospective study developed and internally validated a prediction model using rewarming time, postoperative day 2 drainage output, and postoperative day 1 hemoglobin to stratify the risk of in-hospital sternal wound complications following aortic dissection surgery.
This study reports a 17-year-old female with a de novo DOCK4 truncating variant who presents with global developmental delay, intellectual disability, and structural brain abnormalities including pituitary stalk interruption syndrome and septo-optic dysplasia, thereby expanding the phenotypic spectrum of DOCK4-related neurodevelopmental disorders.
This retrospective case series of six patients demonstrates that lunate excision combined with palmaris longus tendon ball arthroplasty is a viable surgical option for stage III Kienböck's disease, yielding satisfactory short-term pain relief and functional recovery without complications at a mean 12-month follow-up.