📄 medicine

When drugs speak: an exploratory convergent mixed-methods study of a first- person creative narrative activity for anti-seizure medication pharmacology in undergraduate medical education

这项探索性收敛混合方法研究表明,一项零成本的第一人称创意叙事活动(“当药物说话时”)通过利用提取练习和精细编码,显著增强了医学生对抗癫痫药物的学习参与度、记忆留存率和概念理解,这一点从学生的高度偏好以及关于叙事图式构建的定性主题中得到了证实。

Divyashanthi Chellathambi Malathi, Kumaravel J, Dineshkumar Narayanasamy2026-07-09
📄 medicine

Preprocedural estimated glomerular filtration rate and all-cause mortality after TIPS in cirrhosis: a single-center retrospective cohort study

这项针对618例肝硬化患者的单中心回顾性研究发现,术前eGFR低于60 mL/min/1.73 m²与覆盖支架TIPS术后全因死亡率增加相关,尽管在调整MELD评分后这种关联有所减弱,这表明eGFR是术前风险评估中有用但非独立的指标。

Han Cao, Jie Wu, Jun Shang, Yue-yue Liu, Zi-yi Wang, Rui-feng Wang, Chun-Ze Zhou2026-07-09
📄 medicine

Development of a Combined Risk Factors Prediction Model for Esophageal Squamous Cell Carcinoma: A Secondary Analysis of the Linxian Nutrition Intervention Trial Cohort

本研究利用来自临县营养干预试验队列的数据,开发并验证了一种结合风险因素预测模型,该模型基于八个独立因素有效地对食管鳞状细胞癌的个体风险进行分层,以促进针对性的早期筛查与预防。

Huan Yang, Jingyi Shi, Jianbing Wang, Jinhu Fan, Shaokai Zhang, Yin Liu, Huifang Xu, Vikash Sewram, Jiangong Zhang, Fang (…)2026-07-09
📄 medicine

School-based high-intensity interval training improves classroom engagement more than moderate-intensity continuous training in children aged 8–9 years: a randomized controlled trial

在一项涉及72名8至9岁儿童的随机对照试验中,研究发现,为期六周的校内高强度间歇训练(HIIT)计划在改善客观衡量的课堂参与度方面,比中等强度连续训练(MICT)或不运动更为有效。

jialu Qin, chao chen, linjuan wang, hanyi li, zhen Zhang, jie Min2026-07-09
📄 medicine

Regimen-Specific Bowel Preparation and Early Postoperative C-Reactive Protein Elevation After Laparoscopic Hysterectomy: A Propensity Score-Matched Cohort Study

在一项针对1,238例接受腹腔镜子宫切除术患者的倾向评分匹配回顾性队列研究中,乳果糖灌肠肠道准备与较机械灌肠出现术后早期C反应蛋白升高的可能性显著升高相关,这表明肠道准备方案应被评估为特定暴露变量,而非二元变量。

Yihan Zheng, Xizhu Wu, Longxin Zhang, Jing Wang2026-07-09
📄 medicine

Development and internal validation of a machine learning-based risk stratification tool for sarcopenia in Chinese older adults: findings from the CHARLS study

本研究利用中国健康与养老追踪调查(CHARLS)的数据,开发并内部验证了一个包含12个预测因子的机器学习模型,该模型能够有效对中国老年人的肌少症风险进行分层,并具有适用于社区筛查的强判别能力和高阴性预测值。

Linyan Dai, Xingsheng Wang, Baoshan Li2026-07-09
📄 medicine

Bronchopulmonary Dysplasia Complicated by Pulmonary Hypertension and Pulmonary Vascular Disease: a Case Report and Literature Review

本病例报告描述了一例患有严重支气管肺发育不良、肺动脉高压和肺血管疾病的早产儿,该患儿因左心房重构而出现了疑似房间隔分离(cor triatriatum)的情况并出现了难治性症状,这强调了基于特定病理生理表型制定个体化治疗策略的紧迫需求。

Zhenhai Zhang, Donghuang Dai, Liping Xu, Wenwen Chen2026-07-09