6901 papers
In a standardized patient field experiment across 62 Chinese primary care institutions, AI chatbots outperformed physicians in diagnostic accuracy and patient-centered communication but significantly increased the risk of low-value care by recommending excessive tests and inappropriate medications.
This exploratory study utilizing SHAP-based machine learning found that resting-state heart rate variability has limited and unstable discriminative utility for distinguishing chronic pain–depression–anxiety comorbidity subtypes, particularly pain-depression and pain-anxiety dominant presentations, suggesting it is insufficient as a standalone biomarker for such classification.
This propensity-matched cohort study demonstrates that in morbidly obese patients undergoing total knee arthroplasty, a modified curved lateral skin incision significantly reduces wound complications, shortens hospital stays, and decreases anterior knee hypesthesia compared to the standard midline approach, while maintaining equivalent long-term functional outcomes.
This study demonstrates that early increases in apparent diffusion coefficient (ΔADC) during concurrent chemoradiotherapy for cervical cancer are strongly associated with tumor volume regression and can help identify patients for adaptive replanning, although replanning at the 15th fraction did not consistently offer dosimetric advantages over the 20th fraction.
This case report describes a young woman who developed aquaporin-4 antibody-positive neuromyelitis optica triggered by varicella-zoster virus reactivation, who achieved significant neurological recovery following a comprehensive treatment regimen of antivirals, corticosteroids, plasmapheresis, and rituximab.
This cluster randomized trial conducted in Iraq demonstrates that a single session of lay counselor-delivered thought field therapy significantly reduces trauma-related symptoms and PTSD prevalence among displaced women compared to relaxation therapy, supporting its potential as an effective community-based intervention in conflict-affected settings.
This study demonstrates that combining M-mode ultrasound and Tissue Doppler imaging to assess neonatal diaphragmatic function provides superior predictive accuracy for successful mechanical ventilation weaning compared to using either modality alone.
This large international multivariable analysis of over 23,000 critically ill patients from 2007 to 2024 identifies renal replacement therapy, advanced age, and illness severity as the strongest independent predictors of 60-day hospital mortality, while highlighting that the association between renal impairment and outcomes varies significantly based on the underlying disease causing ICU admission.
This national cohort study of 5,372 middle-aged and older Chinese adults demonstrates that elevated triglyceride-glucose waist-to-height ratio (TyG-WHtR) is independently and linearly associated with an increased risk of incident arthritis, suggesting it serves as a practical clinical tool for early risk stratification.
This cross-sectional study demonstrates that fetal epicardial fat thickness is significantly elevated in pregnancies complicated by gestational diabetes mellitus and serves as a highly accurate, non-invasive diagnostic marker with a 1.5 mm cut-off yielding 94% sensitivity and 93% specificity.