5683 papers
This prospective longitudinal study identified three distinct frailty trajectories in elderly heart failure patients using growth mixture modeling and developed a validated online nomogram based on six independent predictors to facilitate early identification of high-risk subgroups for targeted clinical intervention.
This randomized controlled trial demonstrates that integrating an ADDIE-designed mobile learning intervention into traditional training significantly enhances novice nurses' clinical competence and shifts their practice from task-oriented routines to proactive, person-centered peripheral intravenous catheter care.
This study developed and internally validated a nomogram-based clinical decision support tool using delivery-period variables to accurately predict the risk of neonatal intensive care unit admission in women with late-onset preeclampsia, demonstrating good discrimination and potential clinical utility for resource planning.
This study demonstrates that GTS-21 protects rat intestinal epithelial cells from oxygen-glucose deprivation/reoxygenation-induced injury by reducing apoptosis, inflammation, and oxidative stress through the activation of the PI3K/Akt signaling pathway.
This pooled analysis of Nigeria's 2013–2024 Demographic and Health Surveys reveals a strong dose-response relationship between maternal antenatal care attendance and reduced zero-dose status among children, suggesting that strengthening maternal-child healthcare continuity is a critical strategy for improving immunization equity.
In a retrospective study of 386 patients with primary hyperparathyroidism, male sex and markedly elevated parathyroid hormone levels were identified as independent predictors of renal calcifications, while renal dysfunction was associated with advancing age, the presence of calcifications, and higher levels of calcium, phosphorus, and parathyroid hormone.
This study developed and validated a novel, organ-specific Gastrointestinal Congestion Score (GICS) using multidimensional ultrasound parameters, which demonstrated superior predictive accuracy for persistent acute gastrointestinal injury in critically ill patients compared to traditional systemic congestion scores by effectively identifying "occult" splanchnic stasis.
This qualitative study utilizing the Sustainability of Innovation Framework reveals that the sustainability of state-church health partnerships in Ghana relies less on formal policy frameworks and more on adaptive practices, social embeddedness, and faith-based resilience that navigate systemic inequities and financial vulnerabilities.
This multiethnic retrospective cohort study identifies first-trimester total triiodothyronine, haemoglobin, and fasting plasma glucose as independent predictors of gestational diabetes mellitus, while also determining that specific first-trimester biomarkers can forecast cesarean delivery rates among affected patients in a high-altitude population.
This study conducted in Hargeisa, Somaliland, reveals a high prevalence of urinary tract infections (78.2%) among pregnant women, identifying recurrent UTIs, anemia, poor hygiene, and inadequate antenatal care attendance as significant associated risk factors.