14317 papers
This study developed and validated the PUTH classification system, a nerve root-centered framework for lumbar disc herniation that demonstrated substantial-to-excellent observer reliability and high agreement between preoperative MRI and intraoperative findings in patients undergoing percutaneous endoscopic lumbar discectomy.
This qualitative study of Dutch poultry farmers reveals that while many recognize the societal importance of seasonal influenza vaccination to prevent avian-human virus reassortment, uptake is hindered by government distrust, regulatory burdens, and perceived low personal risk, necessitating strategies that leverage trusted intermediaries and ensure accessible, voluntary vaccination programs.
This randomized controlled trial demonstrates that a multimodal opioid-sparing anesthesia strategy significantly improves postoperative quality of recovery and reduces pain and nausea compared to conventional opioid-based anesthesia in patients undergoing laparoscopic colorectal resection, although the authors note these benefits are partial and time-limited.
This scoping review of 33 studies involving 1,290 Indigenous adults with cancer identifies five interrelated domains of resilience—social support, spirituality, cultural continuity, culturally safe healthcare relationships, and individual strength—demonstrating that Indigenous cancer survival is rooted in collective social, cultural, and spiritual contexts rather than individual attributes alone.
This randomized controlled trial demonstrates that a brief, culturally adapted, nurse-led mindfulness-based cognitive therapy programme significantly reduced depressive symptoms and rumination while increasing mindfulness among Thai inpatients with depression compared to routine care alone, with benefits sustained at three months despite the study being underpowered to detect differences in readmission rates.
This mixed-methods study reveals that low anterior resection syndrome (LARS) affects 77.38% of rectal cancer patients after sphincter-preserving surgery, with symptoms peaking at two weeks post-operation, thereby identifying this critical window as the optimal time for implementing family-centered nursing interventions to enhance self-management and social support.
This study demonstrates that a dual-endoscope-assisted retrograde technique for ureteral stenting in kidney transplant recipients achieves significantly higher first-attempt success rates (96.4%) compared to historical pooled data for conventional methods (68.4%), suggesting it is a feasible and effective solution for challenging ureteral complications despite the need for prospective multicentre validation.
This study demonstrates that adding cryotherapy airflow to conventional therapeutic exercises significantly improves cervical range of motion (except right lateral flexion), reduces pain intensity and disability, and increases pressure pain threshold in patients with upper trapezius myofascial trigger points compared to exercise therapy alone.
This cross-sectional study of 265 patient–caregiver dyads with decompensated cirrhosis reveals that psychological resilience and positive coping not only reduce individual distress but also significantly alleviate distress in their partners, highlighting the interdependent nature of psychological well-being within these relationships.
This study identifies and validates a three-gene classifier (IL15, BIRC5, and HNRNPA2B1) that reliably predicts cervical lymph node metastasis in head and neck squamous cell carcinoma across multiple public datasets and an institutional cohort.