📄 medicine

Cancer Immunotherapy Implementation in Crisis-Affected MENA Settings (Lebanon, Sudan, and Iraq): A Pilot Descriptive-Analytical Cross-Sectional Study of Barriers, Clinical Readiness, and Policy Priorities

这项针对黎巴嫩、苏丹和伊拉克23名肿瘤学专业人员的初步描述性分析研究表明,高昂的成本、政治动荡和供应链中断严重限制了癌症免疫疗法的获取,同时也证实了该研究工具对于未来更大规模调查的可行性,旨在为紧迫的政策制定和多边干预提供指导。

Gazy EBRAHIM2026-07-21✓ Author reviewed
📄 medicine

Non-genetic factors play more important role in lansoprazole metabolism than CYP2C19 pharmacogenetic profiles in European patients with burns

在欧洲烧伤患者中,年龄、性别、BMI、吸烟和物质滥用等非遗传因素对兰索拉唑代谢的影响大于 CYP2C19 药理遗传学特征,这表明在该人群中进行遗传检测对于个性化给药并非必要。

Natálie Mlčůchová, Jan Böhm, Jaroslav Janošek, Ondřej Zendulka, Jana Gregorová, Ondřej Peš, Michaela Fiamoli, Břetislav (…)2026-07-21
📄 medicine

Patient incivility and Nurses' Behaviours to Maintain Patient Dignity: The moderating role of Future time orientation

本研究表明,虽然患者的不礼貌行为会对护士维护患者尊严的行为产生负面影响,但这种不利影响会被护士对未来的时间取向显著缓冲,这表明认知培训和制度保障可以增强人文关怀。

Cong Guo, Mengqi Zhu, Juju Huang, Yucai Ding, Lingling Chen, Yuling Xu, Cheng Wang, Rui Huo, Caiyan Ding, Tong Zhou, Yon (…)2026-07-21
📄 medicine

Clinical Application of Modified Karydakis Flap Procedure for Pilonidal Cyst: A 2-Year Single-Center Retrospective Cohort Study

这项为期2年的回顾性队列研究表明,在改良的 Karydakis 皮瓣术中加入一根位于骶尾部(natal cleft)的头皮针引流管,与不使用该装置的标准技术相比,在不增加手术创伤的情况下,显著降低了术后血清肿和伤口并发症的发生率,加速了康复过程,并降低了复发率。

Jianheng Wang, Qianqian Wang, Min Liu, Zhigang Zhang, Chunxiang Liu, Penglin Liu2026-07-21
📄 medicine

Supra-inguinal versus infra-inguinal fascia iliaca compartment block for postoperative analgesia in elderly patients undergoing proximal femoral fracture surgery: a prospective randomized double-blind trial

这项前瞻性随机双盲试验表明,在接受近端股骨骨折手术的老年患者中,超声引导下的髂腰肌筋膜间隙阻滞与腹股沟下入路相比,能提供更优的术后镇痛效果并减少阿片类药物的使用量。

Sabrine Ben Brahem, Ichraf Ardhaoui, Hela Ben Said, Firas Kalai, Hichem Belhadj Kacem, Mohamed Amine Selmene, Lotfi Reba (…)2026-07-21
📄 medicine

Prognostic Utility of the Endothelial Activation and Stress Index in Critically Ill Patients with Heart Failure and Acute Kidney Injury: A Dual-Cohort and Machine Learning Validation Study

这项具有机器学习验证的双队列研究表明,入院内皮激活与应激指数(EASIX)是一个由三种常规生物标志物得出的简单评分,它是合并心力衰竭和急性肾损伤的危重患者短期和长期死亡率的一个稳健、独立且呈剂量依赖性的预测因子,其预测准确性可与复杂的临床评分系统相媲美。

Fengli Li, Meiling Zhao, kangxing Wang, Meng Yuan2026-07-21
📄 medicine

The Double Burden of Adolescents in Bandung, West Java, Indonesia: Undernutrition and Emerging Metabolic Risks

一项针对印度尼西亚万隆203名青少年的横断面研究显示,营养不良、体重正常与营养过剩并存的双重营养负担现象,且伴随着高比例的代谢和脂质异常(尤其是血脂异常),这表明代谢风险评估必须超越单纯的BMI指标。

Lilik Sukesi, Noormarina Indraswari, Novina Novina, Ahmedz Widiasta, Ria Bandiara, Yunia Sribudiani, Wiem Bony, Nanny Na (…)2026-07-21