5683 papers
This study demonstrates that a radiomics model derived from pretreatment chest CT images can effectively predict cancer therapy-related myocardial injury, offering a low-burden, early risk assessment tool that outperforms conventional clinical variables.
This qualitative study of 34 women utilizes Mishel's Uncertainty in Illness Theory to reveal how persistent and evolving uncertainty is perceived, appraised, and managed across the perinatal trajectory from high-risk pregnancy to NICU discharge, highlighting the critical roles of maternal identity and social support in shaping coping strategies.
This study identifies structural inefficiencies in China's single-position hospital recruitment model as a key driver of vacancies in critical specialties and demonstrates through a counterfactual analysis that a parallel volunteer mechanism could theoretically achieve full position completion by enabling cross-hospital candidate matching.
This paper presents a functional durability framework for insecticide-treated nets (ITNs) that integrates mathematical modeling of longitudinal field data from Tanzania to demonstrate that while physical fabric degradation increases mosquito entry, residual insecticidal activity often remains sufficient to maintain overall entomological effectiveness, suggesting that future product design should prioritize insecticide performance alongside fabric durability to ensure sustained public health impact.
This single-institution pilot study demonstrates that a brief, multi-source, competency-based evaluation system for surgical sub-interns achieves strong inter-rater reliability and feasibility with minimal evaluator burden, supporting its potential for high-stakes residency selection.
This study of medical students in a longitudinal integrated clerkship found that both a post-clerkship interest in a surgical career and a greater breadth of direct clinical exposure to surgical disease topics were significantly associated with higher self-reported comfort in foundational surgical skills.
A national survey reveals that preliminary general surgery residents experience significantly worse quality of life, mentorship, professional trajectory, and workplace mistreatment compared to their categorical counterparts, with these disparities persisting even after adjusting for demographic factors.
This study demonstrates that surgical residents who perceive high levels of faculty engagement in feedback report significantly more frequent feedback, greater exposure to Entrustable Professional Activities (EPAs), and higher satisfaction with both feedback and EPAs compared to those with low perceived engagement, suggesting EPAs serve as an effective mechanism for enhancing faculty feedback.
This pilot study demonstrates that a theory-informed, paired preoperative forethought and postoperative reflection instrument for laparoscopic cholecystectomy is feasible, acceptable to residents, and can be integrated into routine surgical workflows without interfering with patient care, though modest completion rates highlight the need for further controlled research to evaluate its impact on learning and performance.
This prospective program evaluation demonstrates the feasibility of a four-level micro-credentialing pathway for thoracentesis and paracentesis training, reporting moderate uptake and successful retention among a first cohort while identifying the need for further evaluation of peer-assessor scalability and long-term impact.