📄 medicine

Spatial multilevel and decomposition analysis of minimum dietary diversity among Indian children aged 6 to 23 months in NFHS-5 with an evaluation of the Aspirational Districts Programme

本研究利用基于 NFHS-5 数据的综合多方法框架,揭示了印度儿童的最低饮食多样性仍然处于极低水平,且在空间上与发育迟缓呈现集群分布,这主要是由母亲受教育程度和财富不平等所驱动,同时发现“抱负区计划”(Aspirational Districts Programme)并无统计学意义上的显著影响。

Hemeswari Bhuyan, Bhanita Barman, Manjunatha VK, Kangkana Talukdar, Mayuri Ojah, Nikhila Priya V, Srikant Behera, Jyoti (…)2026-07-02
📄 medicine

A Dynamic Online Nomogram for Predicting Frailty Trajectory Membership in Older Patients with Heart Failure

这项前瞻性纵向研究利用增长混合模型识别了老年心力衰竭患者的三种不同衰弱轨迹,并基于六个独立预测因子开发了一个经过验证的在线列线图,以促进对高风险亚组的早期识别并进行针对性的临床干预。

Meng Li, Lihua Zhao, Xin Zhang, Hongji Qian, Lihua Chen, Jiamin Tang, Danni Ma, Yiqi Ding, Simin Chen, Xuemei Zhou2026-07-02
📄 medicine

From Task-Oriented to Person-Centered: Utilizing Mobile Technology to Foster Clinical Competence in Peripheral Intravenous Catheter Care Among Novice Nurses

这项随机对照试验表明,将基于 ADDIE 模型设计的移动学习干预措施整合到传统培训中,能显著提升初级护士的临床胜任力,并使其执业模式从任务导向型的常规操作转向主动的、以人为本的外周静脉导管护理。

Ying-Fang Chou, Ying Tsao, Hsiang-Ling Huang, Ju-Ping Chiang, Pin-Shou Chen, Hui-Chun Chung2026-07-02
📄 medicine

Assessing Renal Calcifications and Dysfunctions in Primary Hyperparathyroidism: Clinical and Biochemical Predictors

在一项针对386例原发性甲状旁腺功能亢进患者的回顾性研究中,男性性别和显著升高的甲状旁腺激素水平被确定为肾钙化的独立预测因子,而肾功能不全则与年龄增长、钙化存在以及钙、磷和甲状旁腺激素水平升高相关。

Ayushi Singhal, Subhash Chandra Yadav, Anjali Mishra, Ayushi Chak, Ambica Tandon, Shivendra Verma, Ayush Gupta, Preeti D (…)2026-07-02
📄 medicine

Development and Validation of a Multidimensional Ultrasound-based Gastrointestinal Congestion Score (GICS) for Predicting Persistent Acute Gastrointestinal Injury in Critically Ill Patients

本研究开发并验证了一种基于多维超声参数的新型器官特异性胃肠道淤血评分(GICS),该评分通过有效识别“隐匿性”肠系膜淤滞,在预测危重患者持续性急性胃肠道损伤方面的准确性优于传统的全身性淤血评分。

Sai Qi Wu, Hai Jun Zhi, Xiao Jie Meng, Jian Wang, Dong Ming Liu, Ya Ning Zhao, Sen Lin, Lian Kai Hou, Li Mei Du, Yong Li2026-07-02
📄 medicine

Understanding the Enablers, Constraints, and Sustainability of State-Church Health Partnerships in Ghana: A Sustainability of Innovation Framework embedded Qualitative Study 

这项利用创新可持续性框架(Sustainability of Innovation Framework)进行的定性研究表明,加纳政教健康伙伴关系的可持续性较少依赖于正式的政策框架,而更多地依赖于应对系统性不平等和财务脆弱性的适应性实践、社会嵌入性和信仰驱动的韧性。

Joseph Atta Amankwah, Emmanuel Kwasi Afriyie, Justine Ti-Baliana Martha Naab, Francisca Kuukua Egyaim, Enoch Nana Kwaben (…)2026-07-02
📄 medicine

First-trimester thyroid function, haemoglobin and fasting glucose as predictors of gestational diabetes mellitus and its impact on pregnancy outcomes: a multiethnic retrospective cohort study

这项多民族回顾性队列研究确定了妊娠早期的总三碘甲状腺原氨酸、血红蛋白和空腹血糖是妊娠期糖尿病的独立预测因子,同时也确定了在某一高海拔人群中,特定的妊娠早期生物标志物可以预报受影响患者剖腹产率。

Wenlu Wang, Liping Yang, Chunye He, Gutian Zhao, Yaowu Chen, Xiaoji Li2026-07-02