7905 papers
This retrospective cohort study utilizing MIMIC-IV and an external validation cohort demonstrates that higher early postoperative glycemic time in range (TIR) is significantly associated with reduced odds of confirmed infections in adult cardiac surgery patients, particularly when TIR exceeds 40–50%.
This systems-based analysis examines the 2022 Gambian pediatric acute kidney injury epidemic caused by contaminated medicines, identifying multi-layered regulatory and surveillance failures through established safety models to propose a policy roadmap for strengthening medication safety in low-resource settings.
This retrospective cohort study of terminally ill children in a Chinese teaching hospital demonstrates that continuous palliative sedation effectively manages refractory symptoms and is associated with longer survival times compared to non-sedation, suggesting it does not hasten death and may offer a survival advantage.
This study analyzes US mortality data from 1999 to 2023 to reveal a marked acceleration in deaths from coexisting chronic liver disease and mental disorders, highlighting significant demographic disparities and projecting a continued rise in mortality rates through 2030, thereby underscoring the urgent need for systemic healthcare reforms.
This study utilized a machine learning-based random forest model on Punjab's 2017–18 survey data to identify vitamin and mineral supplement access, maternal education, and dietary diversity as key determinants of acute morbidity in children aged 6–23 months, demonstrating through counterfactual simulation that optimizing supplement access could yield the largest population-level health improvement.
This cross-sectional survey of 330 elderly hypertensive residents in rural Inner Mongolia reveals a 13.33% prevalence of cognitive frailty, identifying lower education, higher SARC-F scores, and lower income as significant risk factors, while medication use appears protective in those with shorter hypertension duration.
This study characterizes 57 non-typeable *Haemophilus influenzae* isolates from a tertiary hospital in southwest China, revealing high genetic diversity, predominant ampicillin resistance driven by β-lactamase production and PBP3 substitutions, and maintained susceptibility to third- and fourth-generation cephalosporins and carbapenems.
This cross-sectional study of 62 patient–caregiver dyads reveals that while moderate concordance exists in satisfaction levels regarding hematopoietic stem cell transplantation care, caregivers report significantly lower satisfaction than patients—particularly concerning communication and involvement in decision-making—and both groups' satisfaction is influenced by distinct demographic and clinical factors.
This cross-sectional study of 517 preschool children in Changde, China, reveals a 42.6% prevalence of early childhood caries and identifies delayed toothbrushing initiation and high sugar consumption as key modifiable risk factors, underscoring the need for multi-level interventions to improve oral health.
This qualitative study evaluates the implementation of Indonesia's stunting reduction program in the high-performing Tomohon City using a Logic Model framework, revealing that while leadership and local culture drive success, the program remains fragile due to resource constraints and behavioral intervention gaps, ultimately proposing a context-enriched evaluation model to better guide multisectoral efforts.