6308 papers
This retrospective study of 140 patients demonstrates that the medial approach for recurrent laryngeal nerve exposure in transaxillary endoscopic thyroidectomy results in significantly shorter operative times, reduced blood loss, and a lower incidence of transient nerve injury compared to the lateral approach.
This single-center retrospective study suggests that telitacicept is a safe and potentially effective treatment for pediatric patients with IgA nephropathy or IgA vasculitis nephritis complicated by segmental sclerosis, demonstrating rapid and substantial reductions in proteinuria compared to conventional therapy, although the observed differences in efficacy did not reach statistical significance.
This retrospective cohort study developed and temporally validated an auditable EHR-based multimodal risk-ranking pipeline for cardiac intensive care that integrates Chinese admission notes with structured data, finding that while the model showed a numerically higher but statistically uncertain improvement in discrimination over structured data alone, its suboptimal calibration and modest incremental gain necessitate further external validation before clinical implementation.
This multicenter retrospective study demonstrates that the Endothelial Activation and Stress Index (EASIX) is an independent predictor of 28- and 90-day mortality in mechanically ventilated ICU patients and serves as a significant feature within an externally validated machine learning framework for risk stratification.
This qualitative study of Chilean healthcare providers reveals that despite national policies, oncology care remains hindered by structural fragmentation, resource shortages, and a lack of territorial adaptation, necessitating a shift toward more integrated, culturally responsive, and context-sensitive models of care.
This retrospective study of 1,982 ICU patients with delirium demonstrates that the lactate-to-albumin ratio (LAR) is an independent predictor of 28-day mortality, with persistently elevated LAR trajectories identifying the highest risk group and outperforming lactate or albumin alone in prognostic accuracy.
This study reports the initial clinical experience of using removable Allium™ ureteral stents as a temporary, minimally invasive alternative for managing long-segment urethral strictures in patients unsuitable for urethroplasty, demonstrating technical feasibility and short-term efficacy while highlighting encrustation as a primary long-term complication that warrants further prospective investigation.
This prospective within-subject crossover study demonstrates that adjunctive neuromuscular electrical stimulation significantly enhances the clinical efficacy and duration of botulinum neurotoxin therapy for facial movement disorders, offering a well-tolerated strategy to improve symptom severity and prolong symptom-free intervals.
This prospective randomized study utilizing 3D gait analysis and patient-reported outcomes demonstrates that metaphyseal-stem total hip arthroplasty (MTHA) facilitates quicker gait recovery and yields superior functional scores compared to metadiaphyseal-stem implants (MDTHA) at one year postoperatively.
This study of women undergoing adjuvant endocrine therapy for early breast cancer reveals that fatigue and emotional distress are the primary, interrelated drivers of perceived cognitive impairment, suggesting that routine screening and management of these modifiable symptoms are essential for improving survivorship care and treatment adherence.