📄 medicine

Effect of non-high-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio on early neurological deterioration in patients with large artery atherosclerotic ischemic stroke

这项针对432例大动脉粥样硬化性缺血性卒中患者的回顾性研究表明,入院时非高密度脂蛋白胆固醇与高密度脂蛋白胆固醇比值(NHHR)的升高是早期神经功能恶化的独立预测因子,提示其可作为早期风险分层的简便生物标志物。

Jinglong Sun, Yaqiang li2026-07-12
📄 medicine

Proportion and Associated Factors of Maternal Near Miss among Northwest Ethiopian women following Armed conflict: A Cross sectional study

这项于2025年在埃塞俄比亚西北部贡德尔大学综合专科医院开展的横断面研究发现,在武装冲突后入院的女性中,孕产妇近失事件发生率为14.3%,且研究确定了初产、缺乏产前检查以及在寻求或接受护理方面存在延迟与此显著相关。

Leul Endalamaw Demilew, Yemisrach Alemneh Ayanaw, Esmael Ali Mohammed, Bezawit Alemu Mengist, Misganaw Abere Worku, Asna (…)2026-07-12
📄 medicine

Bridging the Representation Gap in the Surgical Workforce: A Scoping Review of Programs and Interventions to Support Surgical Careers for Underrepresented Minority Learners

这项范围综述梳理了支持外科领域代表性不足的少数族裔学习者的多样化干预措施,发现虽然此类项目日益普遍并能改善兴趣和信心等短期指标,但其影响受限于定义和方法论的不一致,从而凸显了通过标准化、纵向且制度化嵌入的策略来实现持久代表性增长的必要性。

Meerab Majeed, Aljeena Rahat Qureshi, Vidhi Bhatt, Ajibola Anifowose, Negeen Halabian, Armaghan Alam, David-Dan Nguyen (…)2026-07-12
📄 medicine

CHA₂DS₂-VASc Score for Pre-Procedural Prediction of Contrast-Associated Acute Kidney Injury After Primary Percutaneous Coronary Intervention for ST-Elevation Myocardial Infarction: A Head-to-Head Comparison with the Mehran Score

在一项接受原发性经皮冠状动脉介入治疗(PCI)的急性心肌梗死(STEMI)患者前瞻性队列研究中,术前 CHA₂DS₂-VASc 评分在预测对比剂相关性急性肾损伤方面的准确性与术后 Mehran 评分相当,为在缺乏术前实验室数据的资源受限环境中进行风险分层提供了一种实用的床旁替代方案。

Sushant Kharel, Birat Krishna Timalsena, Amrit Bogati, Mohammed Sajjad Safi, Pratik Thapa, Rahul Yadav, Vijay Ghimire, C (…)2026-07-12
📄 medicine

Patient and Physician Preferences for Treatment in Advanced Renal Cell Carcinoma in Asia-Pacific (PEAR)- A Discrete Choice Experiment

这项涉及亚太地区患者与医生的离散选择实验表明,尽管两组人群都优先考虑总生存期、完全缓解率和缓解持续时间,但患者在针对肺炎等治疗副作用方面的风险规避程度显著高于医生,这强调了进行整合了这些差异化获益-风险权衡的共同决策的必要性。

Alison Zhang, Niara Oliveira, Bryan Li, Inkeun Park, Miso Kim, Sharon Yu Lin Chua, Anilda Anthony D’Souza, Sameer Gokhal (…)2026-07-12
📄 medicine

Mechanisms of Attainment Gaps in UK Surgical Training: A National Qualitative Study of Trainee Experiences

这项全国性定性研究表明,英国外科培训中的成就差距源于组织障碍与社会、经济及文化资本获取不平等之间的相互作用,后者不成比例地影响了女性、少数族裔以及通过门户路径(gateway pathway)进入培训的受训者,因此有必要在提供针对性支持的同时进行结构性改革,以确保公平晋升。

Nicholas Uren, Gayatri Tadikamalla, Ahmad Elmansouri, Benjamin Preston, Judith Cave, Sally Curtis2026-07-12
📄 medicine

Patient-Reported Outcomes and Sexual Function After Nerve-Sparing Pelvic and Para-Aortic Lymphadenectomy With or Without Suprarenal Extension in Presumed Early-Stage Endometrial Cancer

对于疑似早期子宫内膜癌患者,保留神经的盆腔及肾下腔淋巴结切除术不会显著损害长期生活质量或性功能,而肾上腺上方受累则与较差的预后相关,且广泛的脉管间隙浸润是淋巴结转移的强有力预测因子。

Valentina Auletta, Lydia Kirstan, Angela Kather, Davit Bokhua, Tobias Franiel, Ingo Bernarnd Runnebaum2026-07-12
📄 medicine

Association between the blood urea nitrogen to albumin ratio and all-cause mortality in critically ill patients with non-traumatic subarachnoid hemorrhage: a multicenter retrospective study and machine learning with external validation

这项具有外部验证和机器学习分析的多中心回顾性研究表明,较高的血尿素氮与白蛋白比值(BAR)是创伤性非蛛网膜下腔出血危重患者在30天、90天及365天全因死亡率增加的独立预测因子。

Liang Liu, Zhilei Huang, Binbin Gui, Lin Xu, Wei Zhang, Yansong Liu, Haowei Luo, Xiangtong Zhang2026-07-12
📄 medicine

Joint Associations of Serum Vitamin D and Physical Activity with Bone Mineral Density and Body Composition in U.S. Adolescents: A Cross-Sectional Study Based on NHANES 2011-2018

这项基于 2011–2018 年 NHANES 数据的美国青少年横断面研究表明,较高的血清维生素 D 水平与较好的骨矿物质密度和瘦体重呈正相关,而与内脏脂肪呈负相关,且这些益处在体力活动活跃的人群中显著更为强烈。

Bingrong Tang¹, Chunxiang Yan¹, Han Xia¹, Min Wang¹, Ji Wu², Xiaobing Feng¹2026-07-12