4814 papers
This case report describes a patient with Crohn's disease who developed refractory hospital-acquired hyperkalemia due to heparin-induced aldosterone suppression, highlighting the need for clinicians to consider this reversible and underdiagnosed adverse effect when managing unexplained hyperkalemia in inpatients.
A novel musculoskeletal physical exam curriculum implemented during the 2023-2024 academic year significantly improved internal medicine residents' confidence and, for shoulder and lumbar spine workshops, their objective physical exam competence, though the knee workshop did not yield a statistically significant improvement in observed skills.
This retrospective study of 72 patients with atrial fibrillation demonstrates that reduced left atrial reservoir and conduit strain, measured via echocardiography, are significant independent predictors of a 2-year composite endpoint of ischemic stroke, acute coronary syndrome, and acute heart failure, suggesting their utility as adjunctive markers for cardiovascular risk stratification.
This study introduces SY-CNN+, a hybrid learning framework that leverages GAN-based synthetic data augmentation to achieve high accuracy in classifying malignant versus benign eyelid tumors from clinical photographs, outperforming human clinicians in an exploratory comparison while demonstrating robustness across retrospective and prospective cohorts.
This qualitative study conducted in Nairobi, Kenya, identifies key facilitators and barriers affecting adolescents' access to public mental healthcare services, highlighting the urgent need for collaborative, community-anchored strategies to strengthen the region's underdeveloped mental health system.
This quasi-experimental study demonstrates that a six-week designed preceptorship program significantly enhances the clinical competency of novice intensive care unit nurses, as evidenced by statistically significant improvements in evaluations from head nurses and peers, though not from the nurses' self-assessments.
This mixed-methods study reveals that survivors of the April 2020 floods in Uvira, DRC, experienced exceptionally high rates of co-occurring anxiety and depression (over 70%), driven by a unique "compound vulnerability" of armed conflict, displacement, and bereavement that standard humanitarian frameworks fail to address.
This retrospective cohort study of 41,776 kidney cancer patients in North Carolina (2000–2022) found that a better county-level food environment, measured by the Food Environment Index, is significantly associated with improved survival rates and a reduced risk of death.
This mixed-methods study constructs a scientifically valid and clinically practical recertification evaluation index system for Advanced Practice Nurses in China, comprising 5 primary, 11 secondary, and 45 tertiary indicators based on the Magnet framework to address the current lack of a unified national standard.
This multicenter retrospective study from Ethiopia (2018–2025) demonstrates that while medulloblastoma patients show improved early survival compared to historical data, long-term outcomes remain poor, with gross total resection and older age predicting better survival, whereas brainstem compression, postoperative complications, and delayed radiotherapy significantly increase mortality risk.