6238 papers
A national analysis from 2013 to 2024 reveals that the allocation of general surgery residency positions across U.S. regions does not systematically scale with population growth, resulting in significant regional disparities in training workforce distribution.
This 25-year follow-up study of Swedish middle-aged automotive workers found that a hypertension threshold of 140/90 mmHg, rather than the lower 130/80 mmHg recommended by the American Heart Association, was a statistically significant predictor of cardiovascular risk, with systolic blood pressure emerging as the more critical prognostic factor compared to diastolic pressure.
This prospective cohort study demonstrates that in patients with acute or subacute spinal cord injury, utilizing clean intermittent catheterization instead of indwelling urethral catheters prior to the initial urodynamic study significantly reduces the risk of post-procedural symptomatic urinary tract infections and improves bladder storage function.
This pilot study demonstrates that a four-week Acceptance and Commitment Therapy (ACT) group intervention for inpatients with psychotic disorders is feasible, safe, and well-accepted, yielding significant improvements in symptom severity, global functioning, and recovery that were partially sustained at six-month follow-up.
A nationwide needs assessment survey of Japanese Surgeons as Educators (JSaE) alumni revealed a strong demand for a society-linked refresher course, with participants prioritizing reinforcement of core teaching skills such as performance assessment, feedback techniques, and surgical skills instruction.
This human cadaver MicroCT study reveals that the maxillary aesthetic zone possesses robust interdental cancellous bone with superior quality at the gingival plane compared to the root, suggesting that alveolar reconstruction planning should consider this internal bone structure in addition to the cortical plates.
This mixed-methods study reveals that while Morbidity and Mortality conferences are near-universal and highly valued across pediatric surgery training programs in Sub-Saharan Africa, their effectiveness is significantly hindered by inconsistent implementation, data collection challenges, and resource limitations, prompting a call for standardized, locally adapted formats to better translate discussions into improved patient care.
This scoping review identifies that foot abduction brace non-adherence in low- and middle-income countries is driven by a complex interplay of structural, economic, and psychological barriers, necessitating multi-component interventions that address environmental constraints alongside caregiver education and support to prevent clubfoot relapse.
In patients with preserved left ventricular ejection fraction and a high expected pacing burden, a 3-year prospective study demonstrates that left bundle branch area pacing (LBBAP) yields significantly better clinical outcomes, including lower rates of composite adverse events, compared to right ventricular pacing (RVP), likely due to narrower paced QRS durations and better-preserved global longitudinal strain.
This cross-sectional study of 150 adults demonstrates that ultrasonographic fatty liver grading and 2D-SWE liver stiffness measurements are significantly associated with each other and with the NAFLD fibrosis score, supporting their complementary use as noninvasive tools for assessing metabolic dysfunction-associated steatotic liver disease (MASLD), although the hepatic steatosis index (HSI) showed no significant correlation with imaging findings.