6369 papers
This prospective observational study demonstrates that substituting total bilirubin with direct bilirubin in mortality prediction models (such as AARC, MELD, and MELD-Na) significantly enhances prognostic accuracy for patients with acute-on-chronic liver failure and offers comparable benefits for those with acute liver failure.
This multi-database study demonstrates that the total bilirubin to albumin ratio (TBAR) is an independent risk factor for in-hospital mortality in acute pancreatitis patients and that a support vector machine model integrating TBAR, age, and SOFA score provides optimal predictive performance.
This retrospective study demonstrates that total ankle arthroplasty with patient-specific instrumentation yields superior functional outcomes and preserves ankle motion compared to ankle arthrodesis in patients with end-stage ankle arthritis and preoperative adjacent joint degeneration, without increasing complication rates or accelerating peritalar joint progression at short-term follow-up.
This study successfully developed and validated the Tamil version of the Central Sensitization Inventory (CSI-Tamil) for use in Tamil-speaking populations, demonstrating that the adapted tool possesses good internal consistency, acceptable test-retest reliability, and strong validity for assessing central sensitization symptoms in patients with chronic musculoskeletal conditions.
Despite a 44% decline in South Korea's under-2 population from 2016 to 2023, the emergency department burden for high-specificity pediatric head injuries remained stable, resulting in a significantly increased incidence rate and challenging the assumption that injury surveillance needs will proportionally decrease with shrinking birth cohorts.
This community-based pre–post interventional study in Attappady, Kerala, demonstrates that a culturally sensitive, multi-modal nutrition education program significantly improved knowledge across 16 domains among 365 pregnant tribal women, addressing critical nutritional gaps and highlighting the need for experiential methodologies in maternal health programs for indigenous populations.
This qualitative study explores how female cardiovascular disease survivors rebuild sustainable lives by integrating emotional healing, social support, and lifestyle transformations, highlighting the need for gender-sensitive healthcare strategies that address their holistic recovery needs.
This multivariable propensity score matching study of 1,355 males in Xinjiang demonstrates that smoking significantly reduces sperm concentration and total sperm count but does not significantly affect progressive motility or sperm viability, indicating a primary negative impact on sperm quantity rather than quality.
This qualitative descriptive study explores the experiences of ten pregnant women in Qatar diagnosed with early-onset preeclampsia, revealing seven key themes regarding their coping mechanisms, symptom management, and care needs to inform more effective nursing and midwifery support.
This retrospective cohort study of 156 patients in Uganda reveals that intestinal stoma reversal carries a 17.9% complication rate and 3.2% mortality, with preoperative anemia and female sex identified as significant independent predictors of postoperative complications.