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18661
Real-world impact of COVID-19 vaccination, household exposure, and circulating SARS-CoV-2 variants on infection risk and symptom presentation in a U.S./Mexico border community
Published 2025-06-01“…In this increased infection risk environment, we explored the impact of COVID-19 vaccine status, household exposure, and primary circulating SARS-CoV-2 variant on the probability of infection and symptom presentation while controlling for temporal and sociodemographic factors.MethodsData were collected as part of CO-CREATE (Community-Driven Optimization of COVID-19 Testing to Reach and Engage underserved Areas for Testing Equity), a collaborative implementation study between University of California San Diego, a local Federally Qualified Health Center, and the Global Action Research Center. …”
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18662
Regional variations and trends in liver transplantation practices across Europe
Published 2025-08-01“…This study reviews LT practices and trends in Europe to identify potential policies for improving outcomes. Methods: Data were extracted from the European Liver Transplant Registry and the Global Observatory on Donation and Transplantation. …”
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18663
Assessment of antibiotic utilization patterns in an Indian Level-1 Trauma Center: a pilot study exploring days of antibiotic spectrum coverage and defined daily doses using WHO AWa...
Published 2025-07-01“…BackgroundRising antimicrobial resistance (AMR) necessitates innovative metrics, such as days of antibiotic spectrum coverage (DASC), to optimize antibiotic stewardship. This study evaluated antibiotic use in an Indian trauma center using DASC, defined daily doses (DDD), and the World Health Organization (WHO) Access, Watch, Reserve (AWaRe) classification.MethodsThis retrospective cohort study analyzed data from 1,812 adult inpatients (mean age: 35 years; 70% male; 80% with polytrauma) admitted to a 250-bed Level-1 Trauma Center at the All India Institute of Medical Sciences (AIIMS), India, from August to October 2022. …”
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18664
Multifactorial Risk Stratification in Patients with Heart Failure, Chronic Kidney Disease, and Atrial Fibrillation: A Comprehensive Analysis
Published 2025-05-01“…Personalized, integrated approaches are essential to optimize anticoagulation, reduce hospitalization, and improve prognosis.…”
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18665
Effects of transitional care model on postpartum depression of primiparas (产后延续护理对初产妇产后抑郁的影响)
Published 2023-08-01“…Compared with those in the control group, A lower incidence of postpartum depression and higher satisfaction degree were reported in the observation, with a significant difference(P<0. 01). Conclusion The transitional care model, as a proved way of optimizing quality of postpartum nursing, is effective to relieve the primipara’s negative emotion, improve the sleep quality and reduce the incidence of postpartum depression. …”
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18666
Early hemodynamic impact of SGLT2 inhibitors in overweight cardiometabolic heart failure: beyond fluid offloading to vascular adaptation– a preliminary report
Published 2025-03-01“…Sodium-glucose cotransporter-2 inhibitors (SGLT2i) reduce HF hospitalizations and cardiovascular mortality across ejection fraction (EF) categories, yet their early hemodynamic effects in cardiometabolic HF, and with preserved ejection fraction (HFpEF) in particular, remain underexplored. Methods A prospective, single-center study included 20 consecutive HF patients receiving SGLT2i alongside optimized therapy. …”
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18667
The Combined Effect of Multisensory Stimulation and Therapist Support on Physical and Mental Health of Older Adults Living in Nursing Homes: Pilot Randomized Controlled Trial
Published 2025-01-01“…This brief intervention can be readily implemented to improve well-being and optimize therapeutic resources in nursing home settings. …”
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18668
National and subnational burden of brain and central nervous system cancers in China and global from 1990 to 2021: results from the global burden of disease study 2021
Published 2025-07-01“…Methods Using open data from the GBD 2021 database, we analyzed characteristics of CNS cancer burden in China and globally from 1990 to 2021, including changes in incidence, prevalence, mortality, and DALYs.We employed Joinpoint regression analysis to calculate the average annual percentage change (AAPC) with 95% confidence intervals (95%CI), evaluating temporal trends in CNS cancer burden.A comparative analysis was conducted across multiple dimensions (age, sex, and time periods) to examine differences in CNS cancer burden between China and other world regions. …”
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18669
Trends in Antihypertensive Drug Use and Irrational Prescriptions Among Elderly Patients in China (2016–2023): A Nationwide Multi-Center Cross-Sectional Survey Study
Published 2025-07-01“…While the overall use of first-line antihypertensive drugs remained high, there were differences across subgroups. The increasing rate of contraindicated medications and the identification of high-risk groups and clinical settings provide important insights for optimizing antihypertensive treatment in elderly populations.Keywords: elderly hypertension, antihypertensive medication, irrational prescription, trend analysis, contraindicated medication…”
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18670
Impact of differentiated service delivery models on quality of life among people living with HIV in Uganda– a quasi-experimental study
Published 2025-06-01“…Methods Records of 1,000 PLHIV enrolled in a 10-year cohort at the Infectious Diseases Institute (IDI) clinic in Kampala, Uganda were retrospectively analyzed. …”
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18671
Efficacy and safety of oxaliplatin-based chemotherapy as first-line treatment in elderly patients with metastatic colorectal cancer: a meta-analysis
Published 2025-04-01“…Future trials must integrate biomarker-driven approaches (e.g., ctDNA monitoring, RAS/RAF stratification) to optimize therapeutic precision in aging populations.…”
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18672
Uncovering abnormal gray and white matter connectivity patterns in Alzheimer’s disease spectrum: a dynamic graph theory analysis for early detection
Published 2025-07-01“…Window function type (e.g., Gau20 for early changes, Ham50 for late stability) and data sampling points influenced sensitivity, with short windows optimizing early detection and long windows capturing late-stage network degeneration. …”
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18673
Prognostic Value of Non-Traditional Lipid Indices for In-Hospital Mortality in Patients with Acute Coronary Syndromes
Published 2025-05-01“…<i>Results</i>: Significant differences were observed between survivor and non-survivor groups in terms of age, c-reactive protein (CRP), white blood cell count (WBC), hemoglobin (HGB), and creatinine levels (all <i>p</i>-values < 0.05). …”
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18674
Two-Dimensional Mammography Imaging Techniques for Screening Women with Silicone Breast Implants: A Pilot Phantom Study
Published 2024-08-01“…It could also be used to evaluate and optimize the manufacturer’s recommended settings.…”
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18675
Predictive Significance of the Monocyte-to-High-Density Lipoprotein Cholesterol Ratio in Post-Percutaneous Coronary Intervention Contrast-Induced Nephropathy Among Patients with Co...
Published 2025-07-01“…Survival analysis showed significant differences in long-term mortality among the three groups (Log rank test, P = 0.032). …”
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18676
Clinical characteristics and prognosis of amyopathic dermatomyositis patients with interstitial lung disease: insights from a retrospective cohort
Published 2025-02-01“…We aimed to determine the characteristics and prognosis of patients with ADM-ILD to further guide their clinical management. Methods A retrospective cohort study comprising 190 Chinese patients diagnosed with interstitial lung disease (ILD) was conducted. …”
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18677
Evaluation of ctDNA-guided adjuvant therapy de-escalation in head and neck squamous cell carcinoma: a comparative cohort study
Published 2025-08-01“…We evaluated whether ctDNA-directed stratification could optimize locoregional control in HNSCC patients following neoadjuvant chemoimmunotherapy.MethodsIn this comparative cohort study, consecutive HNSCC patients treated with neoadjuvant chemoimmunotherapy were stratified into two management groups: a ctDNA-guided cohort where tumor-informed ctDNA testing determined POCRT administration given only for detectable ctDNA, and a traditional cohort where all patients received PORT, with postoperative chemotherapy decisions made by multidisciplinary team review based on pathologic response status and pretreatment imaging findings. …”
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18678
Thirst Modulates Parasympathetic Recovery: Comparing Oral and Intravenous Rehydration
Published 2025-05-01“…These findings have implications for optimizing rehydration strategies in sports and occupational settings.…”
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18679
Development of a model for mathematical prediction of the course of the disease in patients with nasal furunculosis
Published 2025-06-01“…Purpose – The aim of the study is to evaluate the factors and develop a linear prediction model for the severity and duration of hospitalization in patients with nasal furunculosis, based on retrospective data analysis. Materials and Methods. This study was conducted at the clinical base of the Medical Faculty of V.N. …”
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18680
Dynamic association of serum albumin changes with inflammation, nutritional status and clinical outcomes: a secondary analysis of a large prospective observational cohort study
Published 2025-07-01“…This study aimed to investigate the comprehensive associations of ALB dynamics with inflammation, nutritional status, and clinical outcomes in hospitalized patients, providing evidence to optimize clinical management. Methods This secondary analysis utilized data from a prospective observational cohort study conducted in 34 tertiary hospitals across China between June and September 2014. …”
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