13473 papers
This case-control study conducted in a Brazilian high-risk maternity hospital identifies maternal comorbidities and a history of previous cesarean delivery as the primary determinants driving requests for cesarean sections.
A 2022 cross-sectional study of public hospitals in Reunion Island found that non-surgical management (primarily expectant or pharmacological) was the preferred first-line treatment for the vast majority of patients with non-haemorrhagic early miscarriage, suggesting a need to expand out-of-hospital care networks.
This quasi-experimental study demonstrates that a structured educational module significantly improved knowledge, attitude, and acceptability regarding wet nursing among postnatal mothers in Greater Noida, India, compared to routine care.
This single-center retrospective study of 129 patients with type 2 diabetes found that increasing renal impairment is associated with higher coronary plaque burden on intravascular ultrasound, an association that remains significant after adjusting for conventional cardiometabolic risks but is substantially attenuated when accounting for phosphorus, inflammatory, and nutritional markers.
This retrospective cohort study developed and internally validated a modified Caprini score incorporating tumor stage, operative time, blood transfusion, and postoperative D-dimer levels, which demonstrated significantly improved discrimination for predicting venous thromboembolism in gastrointestinal adenocarcinoma patients compared to the conventional score, though its clinical utility requires further external validation.
Using data from the China Health and Retirement Longitudinal Study, this group-based trajectory modeling study reveals that depressive symptoms among middle-aged and older Chinese adults follow three distinct, stable patterns (low, moderate, and high) that exhibit a strong, graded association with increasing chronic disease multimorbidity and specific sociodemographic risk factors.
This case report describes a fatal instance of gastric mucormycosis causing severe mucosal sloughing and gastrointestinal bleeding in a 75-year-old immunocompromised male on biologic therapy, highlighting the critical need for early endoscopic diagnosis and aggressive intervention in similar high-risk patients.
This prospective observational study suggests that while shorter rectal remnants (< 5 cm) after laparoscopic subtotal colectomy for slow-transit constipation are associated with superior long-term relief of constipation and quality of life compared to longer remnants, the latter offer only transient continence benefits, though these findings are limited by the non-randomized study design and confounding by indication.
This randomized, split-mouth clinical trial demonstrates that the local application of Platelet-Rich Fibrin (PRF) significantly accelerates neurosensory recovery and improves sensory function outcomes at 3 and 6 months following bilateral sagittal split osteotomy compared to untreated control sites.
This study concludes that the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and systemic immune-inflammation index (SII) lack independent prognostic value for predicting in-hospital mortality in oldest-old male patients with acute coronary syndrome, coronary heart disease, and type 2 diabetes.