📄 medicine

Posterior Column Tibial Plateau Fractures: Is a Dedicated Posterior Approach Necessary? A 10-Year Retrospective Clinical and Radiological Study

这项针对20例患者的10年回顾性研究得出结论,即传统的胫骨平台后柱骨折前侧或内侧入路在临床和影像学结果上与直接后外侧入路相当,同时在腓总神经损伤的安全性方面表现更优,这表明常规使用后者是不必要的。

Giacomo Maria Galbiati, Andrea Ferrero, Emanuela Morenghi, Lorenzo Di Mento, Matteo Cavanna2026-07-16
📄 medicine

Self-reported impulsivity and psychiatric history across three Latin American cities: a cross-sectional study in children and adults

这项针对波哥大、佩雷拉和阿雷基帕儿童及成人的横断面研究表明,不同城市间自报冲动性的差异主要由童年时期多动症(ADHD)病史而非城市背景所驱动,同时也凸显了成人 BIS-11 量表中存在的结构性不一致性,这提醒在进行跨文化研究时,若未经进一步心理测量学验证,应谨慎将拉丁美洲人群进行合并分析。

Jorge Avila-Campos, Marcio Soto-Añari, Paula Herrera-Gómez2026-07-16
📄 medicine

Association of imipenem/cilastatin with development of acute kidney injury in critically ill patients requiring carbapenem treatment

一项分析了三个大型 ICU 数据库数据的回顾性队列研究发现,尽管在单个数据集中存在一些矛盾的结果,但在危重患者中,亚胺培南/西丝塔星治疗与降低急性肾损伤风险之间不存在显著的总体关联(与非西丝塔结合的碳青霉烯类药物相比)。

Daiki Aomura, Tahnee Groat, Alberto Lazaro, Darren Malinoski, Ian Stewart, Jeffrey Howard, Michael Hutchens2026-07-16
📄 medicine

Prenatal prediction model for gestational trophoblastic neoplasia after hydatidiform mole with a coexistent normal fetus: a retrospective cohort study

这项回顾性队列研究开发并内部验证了一个基于峰值血清 hCG 水平和葡萄泡组织体积的简单产前列线图,该图能有效预测伴有正常胎儿的葡萄泡妊娠合并症中妊娠滋养细胞肿瘤的风险,从而实现风险分层以指导葡萄泡妊娠后的监测。

Xiaoxiu Huang, Wenzi Huang, Qin Chen, Ziyi Quan, Xiaoxiao Lan, Na Li, Na Yu, Baohua Li2026-07-16
📄 medicine

One-Hole Split Endoscopy Versus Open Laminectomy for Single-Level Thoracic Ossification of the Ligamentum Flavum: A Multicenter Propensity Score-Matched Cohort Study

这项多中心倾向评分匹配研究表明,对于单节段胸椎黄韧带骨化,单孔分体内镜手术(OSE)在神经功能恢复方面与开放式椎板切除术相当,同时能显著减少手术创伤、保护旁脊柱肌肉、限制局部 Cobb 角进展并降低总体并发症发生率。

Xianyi Zhang, Mustafa Abbas Farhood Sultani, Jie Shang, Liang Guo, Guizhu Ji, Ziwei Xia, Chao Ma, Meng Han2026-07-16
📄 medicine

Comparison of microdrop administration using a bottle adapter of 2.5% phenylephrine and 0.8% tropicamide with standard drop for ROP examination: a randomized controlled noninferiority trial

这项随机对照非劣效性试验表明,通过瓶适配器给予苯肾啡和托吡卡胺微滴,在进行早产儿视网膜病变筛查时,其散瞳效果与标准滴眼液相当,同时在不增加副作用的情况下减少了对早产儿的药物暴露。

Vivetha Elango, E Narayanan, Muthukumaran N2026-07-16
📄 medicine

Intratumoral and Peritumoral Radiomics Based on T2WI and DWI Sequences for predicting microvascular invasion of intrahepatic mass-forming cholangiocarcinoma

本研究表明,一种整合了弥散加权成像(DWI)序列中瘤内及15毫米瘤周特征的随机森林影像组学模型,在无创预测肝内肿块型胆管癌的微血管侵犯方面优于临床影像及组合模型,从而为术前治疗决策提供有价值的指导。

Jiamei Ma, Zhenlong Wang, Xiaomeng Li, Lihong Xing, Liu Sun, Shuai Han, Jinrong Qu, Jinghui Dong, Hongjun Li, JIaning Wa (…)2026-07-16
📄 medicine

Effect of a School-Based Salt Reduction Health Education Program on Urinary Sodium, Potassium, and KAP Among Primary School Students and Their Parents: A Quasi-Experimental Study

这项在中国的江苏开展的准实验研究发现,一项多组分学校减盐项目显著改善了知识、态度和行为,降低了家长钠摄入量以及食堂钠含量,但未能显著降低小学生整体的尿钠排泄量。

Zhiwen Zhang, Da Pan, Ruilong Xun, Hong Zhang, Jin Yang, Tao Mao, Chen Qu, Hui Xia, Guiju Sun, Shiqi Zhen2026-07-16