📄 medicine

Self-assessed Palliative Care Competency Acquisition among Brazilian Medical Students: A Cross-Sectional Study

这项针对385名巴西医学生的横断面研究显示,尽管学生自评的安宁疗护能力在医学训练过程中总体呈提升趋势,但在护理协调、团队合作和自我意识方面仍存在显著差距,凸显了加强巴西安宁疗护教育的紧迫性。

Maisa Vitória Gayoso, Úrsula Bueno do Prado Guirro, Thomas Nogueira Vilches, Guilherme Antonio Moreira de Barros2026-07-07
📄 medicine

Elderly men are at higher risk of severe COVID-19: linking sex- and age-related immune dysregulation to multi-organ complications

这项针对395例住院新冠肺炎患者的回顾性队列研究表明,由于年龄与性别相关免疫失调的协同作用,老年男性面临着最高的重症及多器官并发症风险,这强调了制定定制化治疗策略而非采取“一刀切”方案的紧迫性。

Yingying Zhao, Yanjun Lai, Xiaoxia Chang, Qi Gao, Yunchao Zhang, Guochao Zhang2026-07-07
📄 medicine

The Digital Path Toward Perceived Medication Error Prevention From the Physician Perspective in Private Clinics in Eastern Indonesia: A Mixed Methods Study

这项针对印度尼西亚东部私立诊所全科医生的混合方法研究表明,感知的用药错误预防主要由有效的数字化工作流对齐驱动,而这种驱动显著受到人工智能就绪度、数字化能力、电子病历系统质量及同伴影响的影响,却不受基于按人头付费的筹资法规的影响。

Debora Natalia, Waynhena Sarawa Nesia, Dewi Sri Surya Wuisan, Ferdi Antonio2026-07-07
📄 medicine

Rapid Recurrence of Pediatric Cerebellar Pilocytic Astrocytoma with High Ki-67 Index and KIAA1549-BRAF Fusion: A Case Report

本病例报告描述了一例罕见的儿科小脑毛细胞型星形细胞瘤,该肿瘤具有高 Ki-67 指数和 KIAA1549-BRAF 融合,尽管经过手术切除,仍表现出极快的复发,但在启动靶向曲美替尼和达拉非尼治疗后实现了持久的疾病控制。

Abhinav A Karnati, Vishal Bandaru, Ryan D Morgan, Nannette Colon Diaz, Muhittin Belirgen2026-07-07
📄 medicine

Bentall procedure for pseudoaneurysm of mitral-aortic intervalvular fibrosa in a patient with Y- incision root enlargement: a case report

本病例报告描述了一例罕见的二尖瓣-主动脉间隔纤维部假性动脉瘤的成功治疗,该患者为42岁女性,该病变发生于通过Bentall术式进行Y切口根部扩大主动瓣置换术后的两年,其诊断过程因机械瓣伪影及针对Capitis葡萄球菌败血症的抗生素治疗无效而变得复杂。

Shibo Song, Feimin Shen, Shaoling Chen, Mingcheng Huang, Bin You, Yuxin Kang, Wencong Yang, Jinping Liu2026-07-07
📄 medicine

Evaluation of risk prediction models for coronary artery disease: a systematic review, meta- analysis, and machine learning validation

这项针对68项研究的系统评价和荟萃分析显示,尽管现有的冠心病风险预测模型表现出中等的判别能力,但其高偏倚风险和异质性限制了临床适用性,表明未来的研究需要聚焦于特定亚组和基于机器学习的模型。

Tanglin Ouyang, Daoxi Qi, Xinxin Miao, Xinai Xie, Xinyu Deng, Fan Wang, Liang Cao, Chang Zhao, Ruiyang Zhu, Shuyang Shen (…)2026-07-07