📄 medicine

Concurrent procedures during caesarean delivery and early postoperative deep vein thrombosis detection: a retrospective cohort study

这项针对1,943名女性的回顾性队列研究发现,剖宫产术期间的并发手术与早期术后深静脉血栓检测之间不存在显著关联,这表明目前英国皇家妇产科医师学会(RCOG)针对此类手术统一增加三点风险评分的做法,在未能提高风险辨别能力的条件下,增加了符合预防性使用肝素条件的女性人数。

Yong Sun, Yuxin Bi, Wenjie Zhang, Ling Wang, Huan Zhang, Yao Tan2026-09-03
📄 medicine

The role of geriatric syndromes in moderating the relationship between cardiometabolic multimorbidity and cognitive function in mid-to-late life: a multicohort study

这项多队列研究表明,老年综合征(尤其是衰弱、抑郁症状及其累积或进展轨迹)显著地调节并加剧了心血管代谢共病与中老年时期认知功能之间负相关关系的程度。

Yating Liu, Xiang Li, Xin Yang, Guangwen Liu, Chenlu Hong, Yujie Huang, Boyuan Guan, Xueheng Wang, Chong Chao, Yanan Luo2026-09-03
📄 medicine

Prevalence of pneumonia and associated risk factors among neonates in selected health facilities in Wakiso district, Uganda

这项在乌干达瓦基索区开展的横断面研究发现,新生儿肺炎的患病率为12.6%,并确定了诸如缺乏产前护理、早产、低出生体重、看护者知识有限以及特定的烹饪条件(使用与客厅相连的木炭厨房)等因素与该病症显著相关,凸显了针对这些高风险群体进行定向干预的必要性。

Bridget Namwanga, Mathius Amperiize, David Musoke, Edith Nakku Joloba, Angela Kisakye2026-09-03
📄 medicine

Antimicrobial resistance patterns in pregnancy and their relationship to early onset Neonatal infection in tertiary level hospitals in Rwanda

这项针对卢旺达三级医院孕妇及其新生儿的研究揭示了高发的抗生素耐药细菌感染,特别是针对革兰氏阴性病原体(如肺炎克雷伯菌和埃希氏菌),且显著比例的新生儿感染直接与母体菌株相关,凸显了加强抗生素管理和常规筛查的紧迫性。

Jean Pierre Bucyebucye, Patrick G. Bagambe, Kenneth Ruzindana, Aimable Kanyamuhunga, Emmanuel Habimana, Stephen Sabiti (…)2026-09-03
📄 medicine

Development and temporal validation of the PRE-DELIRIUM score for postoperative delirium in older adults with hip fracture

本研究开发并进行了 PRE-DELIRIUM 评分的时间验证,这是一种实用的包含年龄、认知功能障碍和血尿素氮五个变量的术前模型,能够有效预测髋部骨折老年患者术后谵妄的风险,以促进早期预防策略的实施。

Unchana Sura-amonrattana, Suparat Saetan, Pornjuree Saepoo, Varalak Srinonprasert, Direk Tantigate, Manatchanok Kunin, R (…)2026-09-03
📄 medicine

The AI-CDSS Evidence Gap: A Critical Analysis of Outcome Measurement, Human-AI Interaction, and Implementation Validation

这项批判性叙述性综述揭示,目前关于基于人工智能的临床决策支持系统的证据不足以证明其能带来显著的患者获益,因为这些证据过度依赖替代性诊断指标,忽视了诸如自动化偏见等显著的人机交互风险,且缺乏在多样化真实世界环境(特别是中低收入国家)中的前瞻性验证。

Joy Aifuobhokhan, Daniel Adurayemi Idowu, Ugochukwu Leonard Chibuike, Nathaniel Oluwabukunayomi Solomon, Agbeko Emmanuel (…)2026-09-03
📄 medicine

Mechanistic Pathways of Biochemical and Toxicological Responses to Waste Tyre Combustion Emissions: A Systematic Review

这项系统综述综合了有限但正在涌现的证据,表明废旧轮胎燃烧排放物主要通过氧化应激和炎症途径诱发多器官毒性,并强调迫切需要进行更严谨、纵向且分子水平的研究,以全面表征这些健康风险。

Stephen Kusi, Christopher Larbie, Benjamin Obukowho Emikpe, Lyndon Sackey, Jackson Adiyiah Nyantakyi2026-09-03
📄 medicine

Comparison of level of Engagement, Empathy, and Motivation among 2nd year MBBS students with early and conventional clinical exposure, A comparative cross-sectional study

这项针对巴基斯坦423名医学本科二年级学生的比较横断面研究发现,与接受传统课程的学生相比,接受早期临床接触的学生表现出显著更高的学术参与度和共情能力,尽管在动机方面未观察到差异,这表明虽然早期临床接触是有益的,但应将其与其他策略相结合以最大化其影响。

Meerab Ali khan, Ali Hassan, Eman Fatima, Muhammad Yousaf, Waseem Sajjad Shah, Muhammad Raza Ansari, Basira Bek, Hamza H (…)2026-09-03
📄 medicine

The Association Between the Gamma-Glutamyl Transferase-to-Albumin Ratio and the No-Reflow Phenomenon in Patients With Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention

本研究表明,γ-谷氨酰转肽酶/白蛋白比值(GAR)作为一种源自常规入院检测的指标,是急性冠脉综合征患者在接受经皮冠状动脉介入治疗术后出现无复流现象的独立预测因子。

Onur Akgün, Murat Akdoğan, Çağatay Tunca, Sinan Boz, Mustafa Duran2026-09-03