📄 医学

Challenges and Adaptation after a Fall: A Mixed Methods Study of Community-Dwelling Older Adults Discharged Home from the Emergency Department

这项混合方法研究揭示了许多居住在社区的老年人在因跌倒相关急诊出院一个月后仍经历着持续性的生理与心理衰退,同时强调了社会支持在疼痛管理中的关键作用,以及患者在早期康复过程中所采用的多样化适应策略。

Michelle Lin, David Kim, Caitlin Toth¹, Maria Pacella-LaBarbara, Brian Suffoletto2026-10-14
📄 医学

A pragmatic randomized controlled trial of physician’s-choice systemic anticancer therapy versus best supportive care in patients with end-stage advanced solid tumors: the TRUE trial protocol

TRUE试验是一项正在进行的实用性随机对照试验,旨在比较针对末期晚期实体瘤患者,由医生选择的全身抗肿瘤治疗与最佳支持治疗,以确定增加治疗是否能改善总生存期和生活质量,或者优先考虑支持治疗是否更有益。

Tomonori Mizutani, Tsuguo Iwatani, Takuya Kawahara, Makoto Ueno, Shiho Kuji, Takako Kuroda, Atsuo Takashima, Ryosuke Tat (…)2026-10-14
📄 医学

Willingness to use and pay for a virtual urgent care service among emergency department patients in Singapore: a cross-sectional study

这项针对168名新加坡急诊科患者及其护理人员的横断面研究表明,使用并支付虚拟急诊护理服务的意愿随感知的临床紧迫性而增加,且这种接受度是由特定情境下的价值(如轻微症状时的便利性以及严重症状时的及时升级)以及信任度和数字化信心等因素所驱动的。

Kris Chua, Shi Yun Low, Jason Lee, Serene Wong, Stephanie Q Ko, Ivo Vlaev2026-10-14
📄 医学

Partial Mediation by Self-Efficacy of the Association Between Information-Motivation-Behavioral Skills Nursing and Quality of Life After Lung Cancer Cryoablation: A Retrospective Cohort Study With Propensity Score Matching

这项采用倾向评分匹配法的回顾性队列研究表明,自我效能感是一个具有统计学意义但较为脆弱的部分中介变量,解释了“信息-动机-行为技能”护理干预与肺癌冷冻消融术后患者生活质量改善之间正相关关系中约12%的部分。

Huanzhi Peng, Zhuoxin Dai, Lili Tang, Junwei Wang, Miao Yang, Mingxi HU, Mengyang Chang, Quanxing Liu2026-10-14
📄 医学

Impact of Cardiorenal syndrome Type 1 on Mortality and Health-related Quality of Life among Patients Admitted for Acute Heart Failure in a Nigeria Tertiary Hospital: A Prospective Cohort Analysis

这项在尼日利亚一家三级医院进行的这项前瞻性队列研究表明,1型心肾综合征影响了近半数的急性心力衰竭患者,并且与住院时间延长、死亡率升高以及30天内健康相关生活质量下降显著相关。

Rilwan Adegboyega Oyekunle, Yekeen Ayodele Ayoola, Maryam Nike Abdul-Raheem, Adamu Adamu, Ismail Olayemi Ayanbisi, Remig (…)2026-10-14
📄 医学

Mesenteric Adhesion and Poorer Perioperative Outcomes in Gastric Submucosal Tumors: A Retrospective Study of Endoscopic Full-Thickness Resection

这项针对202例患者的回顾性研究表明,由后壁位置、肿瘤体积大及向肠外生长等风险因素驱动的系膜粘连,显著延长了接受内镜全层切除术治疗的胃黏膜下肿瘤的手术时间、增加了炎症反应并提高了住院费用,从而强调了对此类病例进行仔细术前评估和谨慎对待的必要性。

Qin Zeng, Ziqi Sui, Yuxuan Chen, Liwen Feng, Mi Zhou, Xinli Chen, Shuo Zhang2026-10-14
📄 医学

Flipped classroom combined with problem-based learning in peri-operative anaphylaxis training for nurse anesthetists: a randomized controlled trial

这项随机对照试验表明,与传统讲座相比,整合了翻转课堂与基于问题的学习(FC-PBL)教学模式显著提升了接受围术期过敏反应培训的麻醉护士在团队应急表现、理论知识、实践技能及自信心方面的水平。

Yan-Ling Ren, Hao-Yong Zhang, Ming-Zhu Jing, Jia-Qi Chen, Wei Zhang, Fei Xing2026-10-14