959 papers
This 17-year retrospective study of 236 patients in Basrah, Iraq, reveals that acromegaly is frequently under-diagnosed and characterized by late presentation with macroadenomas and significant comorbidities, where surgery remains the primary predictor of remission while radiotherapy is associated with more resistant disease.
This study demonstrates that magnetron sputtered AlCrNbTiV nitride coatings doped with 4.3 at% Ce exhibit refined face-centered cubic microstructures and significantly enhanced hardness, friction resistance, and wear performance, making them promising candidates for protective tribological applications.
This population-based cohort study of over 423,000 women reveals that while higher parity appears linked to increased gestational diabetes risk in crude analyses, this association is actually confounded by maternal age and BMI, with fully adjusted models showing that higher parity is associated with a reduced risk of GDM, particularly among overweight/obese women and those aged 35 or older.
This retrospective CT-based study of 140 Turkish women reveals that coarse calcification patterns in uterine fibroids are significantly associated with larger lesion sizes and intramural or transmural locations, while irregular margins are linked to lower odds of such calcifications.
This case report highlights a fatal, radiographically occult diaphragmatic hernia in a small Indian civet that was initially masked by a prominent rectal prolapse, underscoring the critical need for longitudinal monitoring and repeated diagnostic imaging in wildlife trauma cases to avoid underdiagnosis of concurrent life-threatening internal injuries.
This retrospective study of 184 diabetic patients in Egypt demonstrates that the pulse wave index (PWI) offers superior sensitivity and diagnostic accuracy compared to the ankle-brachial index (ABI) for detecting peripheral arterial disease, suggesting PWI is a more effective screening tool for this high-risk population.
This study reveals that among emerging adults, mindfulness reduces internet addiction primarily by enhancing attentional control and reducing cognitive fusion, though these protective mechanisms operate independently of emotion regulation levels.
This paper presents a case series of four adolescents with primary amenorrhea representing distinct etiologies—Müllerian agenesis, androgen insensitivity, outflow tract obstruction, and Turner syndrome—to demonstrate how a systematic diagnostic algorithm based on secondary sexual characteristics and pelvic anatomy guides precise, etiology-specific interventions and long-term management.
This interventional study of 62 chronic psychiatric rehabilitation patients found that while salivary riboflavin levels were normal, vitamin C deficiency was prevalent and successfully corrected through supplementation, underscoring the importance of targeted nutritional screening to improve oral health outcomes in this population.
This observational pilot study at a tertiary spine surgery center utilized TeamSTEPPS, Oxford NOTECHS II, and HFACS frameworks to identify critical human factors and system vulnerabilities—such as communication fragmentation, hierarchical barriers, and environmental stressors—that compromise team performance and patient safety, thereby establishing a foundation for future interventions aimed at enhancing psychological safety and structured communication in spine surgery.