📄 medicine

Improving Recognition of Vitamin C Deficiency in Internal Medicine: A Before–After Study of Criteria-Guided Testing in Hospitalized Adults

这项在一家法国医院进行的干预前后的研究表明,针对住院内科患者实施以临床标准为指导的维生素 C 缺乏检测,与传统的由临床医生主导的方法相比,显著提高了检测频率和诊断收益,揭示了此前未被充分认识的高患病率。

Adrian Purcarea, Rémy Bouquet, Odile Sevin, Dominique Devesa, Claudia Gavris, Silvia Sovaila2026-06-30
📄 medicine

ED-MERGE: A Dynamic Multimodal Framework for Early Risk Stratification in the Emergency Department with External Validation

本文介绍了 ED-MERGE,这是一个动态多模态框架,它整合了时间对齐的生命体征、结构化数据和非结构化临床笔记,旨在为急诊科内的多种急性综合征提供实时的、演进式的风险分层,并展示了强大的预测性能和成功的外部验证。

Feng Xie, Xinrui Xiong, Xinnie Mai, Shuang Zhou, Yunqian Liu, Kai Yu, Xuhai Xu, Mingquan Lin, Rui Zhang, Michael Puskari (…)2026-06-30
📄 medicine

Recurrence After Endoscopic Management of Upper Tract Urothelial Carcinoma: Incidence, Predictors, and Clinical Consequences in an International Multicenter Cohort

在一项包含277名患者的国际多中心队列研究中,高分级活检组织学被确定为内镜治疗上尿路尿路上皮癌后复发的强有力独立预测因子,其发生率在34.7%的病例中出现,并为加强监测及潜在的延迟根治性肾输尿管切除术提供了指导。

modassar awan, maida bada, mohammad jaabou, osama zaytoun, ahmed rabie, dovey zachary, paolo gontero, ryan stevens, luca (…)2026-06-30
📄 medicine

Short-Term Fellow-Eye Aqueous Humor Cytokine and Metabolomic Changes After First-Eye Surgery in Age-Related, Diabetic, and High Myopia– Associated Cataracts

这项前瞻性配对眼研究表明,第一只眼白内障手术后第二只眼的房水细胞因子和代谢组学短期变化具有病因依赖性,其中在糖尿病和高度近视相关的白内障中观察到显著的瞬时分子波动,而在老年性白内障中则未观察到。

Yang Li, Mingbo Li, Taiying Cheng, Wenjun Guo, Youhuan Cai, Min Wang, Taixiang Liu2026-06-30
📄 medicine

Prenatal to Postnatal Outcomes in a Whole Maternal Isodisomy 6: A Case Report with Favorable Prognosis and Literature review

本病例报告描述了一例罕见的母源全同二倍体6号染色体伴随胎盘限制性嵌合现象,该现象导致了宫内生长受限,但在27个月时取得了良好的出生后预后,这表明通过染色体微阵列分析(CMA)和全外显子组测序(WES)排除致病变异可以预测类似病例的积极预后。

Yanping Qian, Qingsong Liu, Shumin Zhao, Jie Ruan, Hao Wang, Bocheng Xu, Zhu Zhang2026-06-30
📄 medicine

Clinical Severity, Early Complications and In-Hospital Mortality After Acute Stroke: A Prospective Cohort of 1,311 Patients From Guinea

这项针对几内亚 1,311 名急性卒中患者的前瞻性队列研究表明,就诊延迟、严重的神经功能障碍和吸入性肺炎是导致 19.6% 高住院死亡率的关键因素,其中吸入性肺炎被确定为死亡的最强可干预预测因子。

Cheick Ousmane Soumah, Mohamed Tafsir Diallo, Mohamed Traoré, Camara Alpha, Alpha Oumar Sadjo Diallo, Fodé Abass Cissé2026-06-30
📄 medicine

Colour Doppler Ultrasonographic Evaluation of Vascular Healing Dynamics After Endodontic Surgery Using Platelet-Rich Fibrin and Chorion Membranes: A Randomized Controlled Trial

这项随机对照试验表明,虽然富血小板纤维蛋白和绒膜组织膜结合羟基磷灰石移植物在促进根尖手术后的根尖周愈合方面均十分有效,但尽管在硬组织愈合结果上没有统计学上的显著差异,绒膜组织膜组在彩色多普勒超声成像上表现出了更优越的血管反应。

PROMILA VERMA, JYOTHI MAMIDALA, RHYTHM BAINS, PRAGYA PANDEY, ANIT PARIHAR2026-06-30
📄 medicine

Are the Surgery Parents OK? A Thematic Assessment of the Emotional, Social, and Professional Impact of Parenthood on Surgeons

这项定性研究表明,尽管外科医生父母认为为人父母意义重大,但由于高强度的工作安排和制度性支持的缺失,他们面临着显著的情感与职业挑战,凸显了对灵活排班和改善育儿资源等结构性干预措施的紧迫需求。

Peter Chmiel, Mary Moya-Mendez, Alexandria L. Soto, Ruby Lopez-Flores, Nagham Bazzi, Shannon Barter, Alisan Fathalizadeh (…)2026-06-30