📄 medicine

Statistical Analysis of Dental Consultation History and Inappropriate Dental Treatment in Patients with Trigeminal Neuralgia Undergoing Microvascular Decompression

这项针对180例接受微血管减压术的三叉神经痛患者的回顾性研究显示,牙痛的存在是导致不必要的不可逆牙科治疗的最强独立危险因素,凸显了加强牙科与医学专业人员之间协作以防止误诊的紧迫需求。

Hiroki Inoue, Syoya MIzuno, Arihiro Nakamura, Marika Kakazu, Mari Fujiki, Tetsushi Oguma, Hiroshi Furuta, Atsushi Nakaya (…)2026-07-10
📄 medicine

Initial Excisional Biopsy Is Associated With Reduced Breast-Conserving Surgery Compared With Core Needle Biopsy in BI-RADS 4–5 Breast Lesions

本研究表明,对于高风险 BI-RADS 4–5 类乳腺病变,在未进行穿刺活检的情况下直接进行切除活检,与先进行粗针穿刺活检相比,会导致显著更高的乳房切除率、增加残留肿瘤发现并损害手术规划,从而支持后者作为必不可少的首选诊断方式。

Cüneyt Akyüz, Hüseyin Pülat, Serdar Gümüş, Oğuzhan Söyler, Deniz Öztaşan, Cezmi Baran Özalp, Cemil Yüksel2026-07-10
📄 medicine

Prevalence of Burtonian Lines and its Correlation with Environmental and Occupational Factors Among Individuals Residing in Rural Areas of Haryana, India

这项针对印度哈里亚纳邦725名农村居民的横断面研究显示,由于土壤和水中环境铅含量高,伯顿线(Burtonian lines)的患病率达100%,这表明该症状可作为反映全身铅负荷的可靠、非侵入性生物标志物,值得纳入常规公共卫生筛查计划。

Surbhi Priyadarshi, Shalini Kapoor2026-07-10
📄 medicine

Clinical overlap between intentional and unintentional drug intoxication in elderly emergency patients: a retrospective study

这项针对132例老年急诊患者的回顾性研究表明,故意与非故意药物中毒具有相似的临床背景和用药模式,唯有在故意病例中农药使用率更高这一显著差异,这表明仅凭意图来区分两者可能具有有限的临床实用价值。

Hitoshi Koga, Kenji Fukuda, Sachiko Ishii, Shuichiro Sagara, Seiya Janado, Chiyo Tsutsumi, Yuichiro Ide, Masahiko Tanigu (…)2026-07-10
📄 medicine

The effect of supraphysiological estradiol levels in ovarian stimulation cycles on the birthweight of neonates conceived through subsequent frozen-thawed cycles is modified by endometrial preparation protocols

这项回顾性队列研究表明,卵泡刺激期间超生理水平雌二醇对随后冷冻复苏胚胎移植周期中新生儿出生体重的影响,受子宫内膜准备方案的显著调节,其中自然周期呈现线性负相关,而激素替代疗法则表现出一种可能在雌二醇水平较高时减轻不利影响的非线性关系。

Jie Geng, Yurong Chen, Ling Ouyang, Lanlan Liu, Zhenfang Liu, Caihui Ma, haixiao Chen, Jianzhi Ren, Jiali Cai, Xiaoming (…)2026-07-09
📄 medicine

Quality of recovery and associated factors of among mothers undergoing cesarean section under spinal anesthesia at Wachemo University, Nigist Eleni Mohammed Memorial Comprehensive Specialized Hospital, Ethiopia, 2025: A cross sectional study

这项 2025 年在埃塞俄比亚瓦切莫大学进行的横断面研究发现,虽然在接受脊柱麻醉进行剖腹产手术的母亲中,有 78% 经历了良好的术后恢复,但仍有 22% 面临较差的恢复情况,且这与术后疼痛、恶心、焦虑、急诊手术及延迟活动等因素显著相关,凸显了优化围术期护理和疼痛管理的必要性。

Dejene Moreda Jiru, Teketel Abebe, Yisehak Wolde, Zekarias Markos2026-07-09
📄 medicine

Clinical-Prompt-Enhanced Deep Learning Model for Precise Preoperative Prediction of Gallbladder Polypoid Lesion Subtypes

本研究提出了 GB-DualmodalNet,这是一个临床提示增强型深度学习框架,该框架将术前超声图像与经自然语言处理的临床数据相结合,以准确预测胆囊息肉样病变亚型,从而提高诊断性能并减少不必要的胆囊切除术。

Qingyu Tang, Zhibo Wang, Zhenqi Tang, Hengchao Liu, Hongzhan Wang, Yubo Ma, Jiashu Song, Kangpeng Li, Minghui Dou, Ziyan (…)2026-07-09
📄 medicine

Development and validation of a sarcopenia screening scale for community-dwelling older adults in China: A risk score model based on multivariate logistic regression

本研究基于五项独立因素(年龄、提举/搬运能力、最大步行距离、指环测试和情绪状态),开发并验证了一种基于七分制的简单风险评分量表,旨在利用2025年亚洲肌少症工作组(AWGS)标准,有效地对中国社区居住老年人进行肌少症筛查,并证明了该量表在基层医疗设置中具有良好的区分度、校准度和临床实用性。

Jing Xu, Can Duan, Zhengliang Li, Xi Sun, LingZhi Wang, Min Yang, Wenguang Xia, Chanjuan Zheng2026-07-09
📄 medicine

Early prediction of weaning trajectories and outcomes with machine learning in patients receiving Invasive Mechanical Ventilation in the WEAN SAFE cohort

本研究表明,机器学习模型(特别是 TabICL 和 TabPFN)能够通过利用具有临床意义且具有潜在可干预性的因素(如器官功能障碍、衰弱程度和镇静状态),在脱机过程早期有效预测机械通气患者的脱机轨迹及拔管成功率。

Nadeem Iqbal Kajla, Reginald Caldecott, Emma Urquhart, Bairbre McNicholas, Taï Pham, Leo Heunks, Giacomo Bellani, Lauren (…)2026-07-09