📄 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
📄 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