📄 medicine

Anesthetic Management of a Parturient with Asymptomatic Second-Degree 2:1 Atrioventricular Block for Emergency Lower Segment Cesarean Section: A Case Report

本病例报告表明,在多学科风险分层、连续有创监测以及即时复苏支持的指导下,即使在进行紧急剖宫产手术时,为一名患有二度 2:1 房室传导阻滞且无症状的产妇实施全身麻醉而不进行预防性起搏器植入也是安全的。

Sunakshi Bhatia, DILJOT KAUR, MOHAMMED SUHAIL A, NISHTHA VIJ2026-09-03
📄 medicine

Real-world outcomes associated with initial oral CGRP receptor antagonist integration strategies in children and adolescents with migraine: a multicenter cohort study

这项针对109名偏头痛儿童及青少年患者的多中心队列研究发现,与仅使用常规预防治疗相比,在常规预防治疗中添加利美格泮与更高的每月头痛天数减少反应率相关,特别是在实现≥75%的减少方面,尽管主要结局未达到统计学显著性,这表明需要进一步的前瞻性评估。

Zexian Zhao, Jingxin Fu, Jinyi Song, Mengting Zhou, Feifan Liu, Yuhui Xia, Mengna Yang, Han Xiao Pan, Linli Gao, Jiahuan (…)2026-09-03
📄 medicine

A 10-year Cancer Registry Analysis on Demographic, Clinicopathological, and Treatment Characteristics for Head and Neck Cancer Patients in Zambia

这项对赞比亚国家癌症登记系统的十年回顾性分析显示,头颈癌主要影响男性,多在晚期发现,且主要采用化疗治疗,其中口腔肿瘤在成年人中最常见,而鼻咽癌在青少年中最为常见。

Chrispinus Hakimu Mumena, Jenny Öhman, Bengt Hasséus, Christopher Kapeshi, Daniel Giglio2026-09-03
📄 medicine

Modelling the future population health consequences of precipitation-induced healthcare disruptions in Malawi

本研究利用一个与马拉维 Thanzi La Onse 健康系统模型相结合的模型框架,预测在 2025 年至 2040 年间,降水引发的干扰将显著影响包括新生儿护理和呼吸道感染在内的急性病症,影响超过 700 万人,并强调了进行适应性规划和改进患者行为数据的紧迫性。

Rachel Murray-Watson, Tara Mangal, Bingling She, Sangeeta Bhatia, Andrew Philips, Joseph Collins, Timothy Hallett, Margh (…)2026-09-03
📄 medicine

A Case Report on Endometrial Dedifferentiated Carcinoma with a Comprehensive Literature Review

本病例报告强调了一个诊断挑战,即一名 33 岁女性患有的罕见 FIGO IA 期去分化子宫内膜癌最初被误诊为宫颈高级别神经内分泌癌,这凸显了进行全面组织采样和审慎免疫组织化学染色以确保准确分期和适当治疗的至关重要性。

Yue Huang, Hongxin Yu, Yaqian Feng, Qi Guo, Xiaoxue Wang, Lina Hu, Jingfen Sun, Haixia Shang2026-09-03
📄 medicine

Redesigning Paediatric Emergency Care for Mental Health: A realist, mixed-methods evaluation of a new model of integrated care (Best For You)

这项现实主义混合方法研究评估了西北伦敦“最适合你”(Best For You)整合照护模式的实施情况,结果表明,尽管存在如疫情和基础设施限制等显著的背景障碍,但持续的利益相关者动力和适应性规划使得儿科急诊精神健康服务的成功重构得以实现。

Michaela Otis, Natasha Dsouza, Susan Barber, Susanna Wratten, Sena Goldal, Stuart Green Hofer, Jean Straus, Michelle Kay (…)2026-09-03
📄 medicine

The Complex Dynamics of Caregiving for ADRD Patients in Uganda: Selection Factors, Challenges, and Benefits

这项在乌干达进行的定性研究揭示,尽管阿尔茨海默病及相关痴呆症(ADRD)患者的家庭照护者面临着由文化期望和资源匮乏所驱动的多维挑战,但他们的选择根植于亲情纽带,且其经历同时因个人成长、共情心和成就感而变得丰富,从而凸显了对量身定制的文化针对性支持干预措施的紧迫需求。

Joy Louise Gumikiriza- Onoria, Mark Kaddu- Mukasa, Kamada Lwere, Dennis Buwembo, Rita Nassanga, Noeline Nakasujja2026-09-03
📄 medicine

Clinical deterioration after steroid tapering or discontinuation in very-low-birth-weight infants: association with small-for-gestational-age status

这项针对极低出生体重婴儿的回顾性研究表明,小于胎龄构成了一个独立风险因素,会导致在全身性类固醇减量或停药后出现临床恶化,因此在该期间需要进行仔细监测。

Masanori Inoue, Yukari Koike, Haruka Tsushita, Ryota Tanaka, Yukie Takumi, Hiroyuki Ono, Ryosuke Tatsuta, Shintaro Kishi (…)2026-09-03