3171 papers
This mixed-methods feasibility study demonstrates that a blended e-learning and virtual reality refresher program is a feasible and highly acceptable approach for postgraduate procedural training, showing significant improvements in knowledge for chest tube insertion and high satisfaction among participants despite scheduling challenges.
This study utilizes deep learning-driven 3D CT analysis to demonstrate that age, psoas and multifidus fatty infiltration, and erector spinae muscle volume are independent, segment-specific predictors of lumbar disc degeneration severity, advocating for customized clinical interventions based on individual muscle and alignment profiles.
This qualitative study of thirteen Iranian nursing managers reveals that power relinquishment is a multilevel phenomenon driven by structural constraints, cultural hierarchies, and policy limitations, necessitating systemic reforms in governance and decision-making to restore professional authority.
This retrospective study of two high-complexity hospitals in Bogotá demonstrates that while Point-of-Care Testing significantly improved diagnostic turnaround times and supported clinical decision-making, it did not reduce overall emergency department length of stay, which remained constrained by broader organizational and structural factors.
This retrospective study of 49 patients with progressive ALK or EGFR-mutant non-small cell lung cancer suggests that applying local therapy to progressing lesions while continuing TKI treatment can prolong survival, particularly when initiated after a longer duration of TKI efficacy, although the resulting time to failure of this strategy serves only as a moderate surrogate for overall survival.
This study of 66 elite youth basketball players reveals that while psychological variables like anxiety, motivation, and fatigue fluctuate throughout a competitive season, fatigue emerges as the most consistent physiological indicator linking subjective psychological states to changes in urinary steroid metabolites.
This mixed-methods study of 4,334 pre-service professionals in high emotional labor industries identifies a "problematic sleep" profile characterized by evening preference and social jetlag as a synergistic risk syndrome that drives both state and trait depression through distinct pathways, highlighting the critical need for targeted sleep health interventions to safeguard future occupational capacity and mental well-being.
This multicenter study validates a VB-Net-based deep learning model that achieves high accuracy and substantial agreement with expert radiologists in the automated detection and Stanford classification of aortic dissection from CTA scans, while significantly reducing processing time from over 10 minutes to under 35 seconds per case.
This case report documents a rare fatal instance of systemic lidocaine toxicity during a hair transplantation procedure in India, attributing the death to myocardial insufficiency and emphasizing the critical need for strict anesthetic safety protocols, proper documentation, and emergency preparedness in cosmetic surgery settings.
This qualitative study of 29 Lebanese families reveals that healthcare system fragmentation creates cumulative inequities in access and structurally prevents the organization of compassion, thereby forcing parents of children with disabilities to assume the burdens of coordination and advocacy.