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24 neue Nachweise auf dieser Seite Publiziert in den letzten 30 Tagen Neueste zuerst Crossref DOI
03.09.2026journal-article

Cirugía Andaluza

Bifid ureteral system in cytoreduction surgery

B Alejandre Ovejero, I Arjona Medina, D Rodríguez Morillas

Resumen La duplicación ureteral es una anomalía congénita común, especialmente en mujeres, que se caracteriza por la presencia de dos uréteres en un riñón. Esta condición puede generar complicaciones como infecciones, litiasis o reflujo vesicoureteral. El objetivo es presentar un caso clínico de duplicación ureteral bilateral, hallada de forma incidental. Se presenta a una mujer de 50 años con diagnóstico de carcinoma de ovario, quien, durante la cirugía de citorreducción mostró duplicación ureteral bilateral sin q …

03.09.2026journal-article

Turkish Journal of Gastroenterology

Lumen-Apposing Metal Stent in the Treatment of Persistent Dysphagia due to Cervical Radiation Therapy

Eren Yilmaz, Mucahit Ergul, Oguz Ozturk, Kadir Can Acun, Emir Tuğrul Keskin, Orhan Coskun, Ilhami Yuksel

Cite this article as: Yilmaz E, Ergul M, Ozturk O, et al. Lumen-apposing metal stent in the treatment of persistent dysphagia due to cervical radiation therapy. Turk J Gastroenterol. Published online September 3, 2026. doi: 10.5152/tjg.2026.26290.

03.09.2026journal-article

Journal of Patient Safety

Closing the Gap: Physician Perspectives on EMR Changes Needed to Support Safe Clinical Care

Vittoria S. von Petersdorff, David Schwappach

Objectives: This study aimed to systematically assess the changes physicians identify as needed in their EMRs to better support safe clinical practice. Methods: Data were obtained from a national survey on EMR usability and patient safety conducted among Swiss physicians in 2024. Responses to the open-ended question “What should change in ‘MySystem’ to better support you in working safely?” were categorized inductively. When a respondent mentioned more than 1 change, these were split into separate statements. Inter …

03.09.2026journal-article

AVANCA | CINEMA

The Two Levels of the Treatment of Time in Christopher Nolan’s Films: The Narrative and Its Cinematic Treatment

Radhika Khanna, Hervé Zénouda, Tathagata Mitra

The question of time is central to Christopher Nolan’s films — Following (1998), Memento (2000), and Tenet (2020). Nolan often uses ‘time’ as a central narrative device in his films through non-linear storytelling. We use the cognitive theory of relevance to examine Nolan’s varied use of temporal deconstruction to build his cinematic narratives. He creates a dynamic of suspense through an extreme temporal deconstruction produced through film editing. This affects cognition and emotion with an experiential dimension …

03.09.2026journal-article

Journal of Clinical Medicine

Neurological Severity and Systemic Biochemical Markers in Relation to Transition to Oral Feeding in Chronic Post-Stroke Dysphagia

Timur Orhanoglu, Merve Savaş, Senanur Kahraman Beğen, Abdulhalim Senyigit, Hafize Uzun

Background: Post-stroke dysphagia is associated with aspiration pneumonia, malnutrition, and poor functional outcomes. Although systemic biochemical abnormalities are common after stroke, their contribution to swallowing recovery and transition to oral feeding remains unclear. This study investigated the association of systemic biochemical markers with oral feeding transition and swallowing-related functional improvement in patients with chronic post-stroke dysphagia. Methods: This retrospective single-center study …

03.09.2026journal-article

Allergies

Allergic Contact Dermatitis in Athletes: A Narrative Review of Allergens, Diagnosis, and Management

Gianna Bratcher, Carsten Hamann, Aislyn Nelson, David Cotter

Allergic contact dermatitis (ACD) is an increasingly common condition among athletes due to repeated exposure to sport-specific equipment, environmental allergens, and topical products. Sweating and repetitive cutaneous trauma facilitate allergen penetration. Rubber accelerators, metals, textile dyes, adhesives, synthetic resins, and topical medications represent the principal allergen categories implicated in sports-related ACD. This narrative review synthesizes the current literature on the epidemiology, pathophy …

03.09.2026journal-article

Clinical Pharmacology & Therapeutics

AI Cautionary Guide: Pitfalls and Strategies for the Use of Machine Learning in Medical Research

Qi Liu, Ruihao Huang, Hanrui Zhang, Thomas F. Osborne

Machine learning ( ML ) is increasingly utilized in medical research. However, underrecognized methodological pitfalls can result in misleading conclusions, which if acted upon can result in patient mismanagement and harm. As a result, we have provided a compilation of common pitfalls and practical safeguard considerations for ML ‐enabled medical research. Examples emphasize the importance of integrating clinical/biologic knowledge and statistical/epidemiologic principles, illustrated with key case examples. Topics …

03.09.2026journal-article

Clinical and Translational Oncology

Prognostic modeling of overall survival in metastatic pancreatic cancer: an inflammation-based tool validated in PANTHEIA-SEOM cohort

Vilma Pacheco-Barcia, Axel Mariño-Mendez, María Ángeles Vicente Conesa, María de Toro Carmena, Paula Cerdà Serdà, Carmen Guillen-Ponce, Mónica Benavente Lucas, Raquel Hernández San Gil, Ángela Lamarca, Javier Gallego, Maria Luisa Soriano Tabares de Nava, Jorge Hernando, Elena Brozos-Vazquez, Ana López-Alfonso, Jorge Adeva, Ismael Ghanem, Sandra Soriano, Javier Soto-Alsar, Andrés Muñoz, Paula Jimenez-Fonseca, Alberto Carmona-Bayonas

Abstract Purpose To develop and internally validate the PANTHEIA-SIRI prognostic model, which integrates log-transformed systemic inflammation response index (SIRI) with clinical predictors, to estimate overall survival (OS) in metastatic pancreatic ductal adenocarcinoma (mPDAC) treated with first-line chemotherapy. Methods We used data from the multicenter PANTHEIA-SEOM registry. OS was defined from chemotherapy start. The model was fitted as a Weibull accelerated failure time model in the survival-analysis popula …

03.09.2026journal-article

World Journal for Pediatric and Congenital Heart Surgery

Congenital Cardiac Surgery Across Continents: Excellent Outcomes With Patients From the Middle East Operated on in the United States

Muhammed Ikbal Aydin, Kathleen Cummins, Karen Smith, Gerard R. Martin, Wayne J. Franklin, Alaa Aljiffry, Yves d’Udekem

Background A subset of children with congenital heart disease (CHD) travel internationally for definitive cardiac surgery, yet outcome data for selectively referred international patients undergoing complex congenital cardiac procedures remain limited. We describe results for international pediatric cardiac patients operated on within a structured referral model at a US tertiary congenital cardiac center. Methods From September 2020 to July 2025, 1465 patients underwent cardiac surgery at our institution. Sixty-six …

03.09.2026journal-article

Journal of Umm Al-Qura University for Medical Science

Asymptomatic retained primary molars in an adult patient with dental agenesis of permanent premolars: a case Report

Nokam Kamdem Gimel Stéphane Junior, Zilefac Brian Ngokwe

Abstract Background Retained primary teeth are primary teeth that stay on the dental alveolus beyond their normal time without eruption of the respective permanent teeth. Methods and Results We present a case of well-preserved bilateral retained primary second molars in an adult following a fortuitous discovery presenting without root resorption nor infraocclusion. Conclusion The most distal tooth in each tooth group is usually the congenitally absent tooth.

03.09.2026journal-article

Biomimetics

Enhanced Moss Growth Optimization with Benchmark Validation and a Wastewater Treatment Prediction Case Study

Zongkun Li, Shanfa Tang

Complex optimization tasks in data-driven prediction and engineering applications often involve nonlinear, multimodal, and ill-conditioned objective functions. This study proposes an Enhanced Moss Growth Optimization algorithm (EMGO), an improved variant of the baseline MGO framework, to enhance exploratory step-size control and local covariance exploitation. EMGO incorporates two key algorithmic augmentations: a budget-adaptive jump regulation mechanism that balances global dispersal and fine-grained refinement, a …

03.09.2026journal-article

BMC Oral Health

Clinical performance of a giomer-based pit and fissure sealant with and without air-abrasion pretreatment: a 12-month randomized clinical trial

Yomna Sayed Khallaf, Olfat Elsayed Hassanein, Aya Mohamed Adly, Dina Kamal

Abstract Background Pit and fissure sealants are widely used for caries prevention; however, their long-term success depends largely on retention. Giomer-based sealants containing surface pre-reacted glass ionomer fillers offer bioactive properties, yet concerns remain regarding their bonding durability when applied with mild self-etch primers. This randomized clinical trial evaluated the effect of bioactive glass air-abrasion pretreatment on the retention and caries preventive efficacy of a giomer-based sealant in …

03.09.2026journal-article

Frontiers in Immunology

Long-term comorbidities and mortality associations with treatment in generalized pustular psoriasis: a multi-institutional cohort study

Teng-Li Lin, Yi-Hsuan Fan, Kuo-Sheng Fan, Chao-Kuei Juan, Yi-Ju Chen, Chun-Ying Wu

Background Generalized pustular psoriasis (GPP) is a rare, severe inflammatory disease with limited evidence on long-term prognosis and treatment–mortality associations. Objective To compare mortality and major comorbidities in GPP, psoriasis vulgaris (PV), and non-psoriatic individuals, and treatment–mortality associations in GPP. Methods Adults with GPP, psoriasis vulgaris (PV) without pustular psoriasis, and non-psoriatic controls were identified. GPP patients were 1:1 propensity score–matched to PV and non-psor …

03.09.2026journal-article

Frontiers in Imaging

Artificial intelligence in breast cancer imaging: a systematic review of detection, segmentation, explainability, and clinical translation

Iqra Iqbal Khan, Syed Adil Hussain Shah, Alexandra Tsipourakis, Marta Malavolta, Aleesha Aleesha, Syed Baqir Hussain Shah, Mozhdeh Hajiani, Andrea Buccoliero, Konstantinos Panagiotopoulos, Syed Taimoor Hussain Shah, Marco Agostino Deriu

Introduction Breast cancer remains the most commonly diagnosed malignancy in women worldwide, with approximately 2.3 million new cases and 670,000 deaths in 2022. Artificial intelligence (AI) is increasingly being applied across breast imaging for detection, characterization, segmentation, risk stratification, explainability, and clinical translation. Methods This systematic review synthesized 284 eligible peer-reviewed publications published between 2015 and 2025, identified through a PRISMA 2020-compliant search …

03.09.2026journal-article

Journal of Palliative Medicine

Threatened Identity: Self Psychology Informed Communication for Serious Illness Care

Daniel Shalev, Indrany Datta-Barua, Leah B. Rosenberg, Keri O. Brenner, Theodore Scheel, Danielle Chammas

Serious illness threatens both the body and the self: the coherent, continuous sense of who one is, from bodily integrity to psychosocial identity. When illness disrupts identity and patients confront mortality and dependence, a range of responses may follow, including behaviors such as relentless demands, devaluation of clinicians, insistence on additional treatment, or rage at perceived care failures. These presentations are often labeled “narcissistic,” yet such a formulation can foreclose clinical understanding …

03.09.2026journal-article

Frontiers in Immunology

Differentiating poor prognosis from treatment-related fluctuations in Guillain-Barré syndrome for repeating immunoglobulin treatment: an illustrative case report

Alessio D’Elia, Luciana Mascia, Luca Gregorio Giaccari, Angela Comanducci, Barbara Maistrello, Emilio Lozupone, Monica Santo Sabato, Mariangela Bianco, Guglielmo Lucchese

Background Guillain-Barré syndrome (GBS) is an acute immune-mediated polyradiculoneuropathy that may follow infectious triggers and can progress to severe weakness, cranial nerve involvement, autonomic dysfunction, and respiratory failure. Cytomegalovirus (CMV)-associated GBS is often linked to a more severe clinical course. Although intravenous immunoglobulin (IVIG) and plasma exchange are established first-line treatments, management becomes challenging when patients deteriorate after initial therapy, particularl …

03.09.2026journal-article

ISPRS International Journal of Geo-Information

Scale-Dependent Spatial Clustering of Hospital Operational Performance and Patient Safety Outcomes in East Java, Indonesia: A Spatial Autocorrelation Analysis

Muhammad Kamran, Inge Dhamanti, Shumaila Ismail

Understanding variations in hospital performance and patient safety is critical for improving health system efficiency, particularly in decentralized healthcare systems such as that of Indonesia. While geographic disparities in health outcomes are often emphasized in research, the relative contribution of spatial patterns remains underexplored. The aim of this study was to identify and visualize spatial clustering of hospital performance and mortality-oriented patient safety. Data from 428 hospitals in East Java, I …

03.09.2026journal-article

Rambam Maimonides Medical Journal

Fetal Pain: Neurobiology, Clinical Practice, and Compassionate Care—A Narrative Review

Omri Dominsky, Ido Solt

Background: Whether a fetus can experience pain remains scientifically and clinically contested, particularly as invasive fetal procedures become more common. Objectives: To review fetal nociceptive development, the evidence and uncertainties relevant to pain perception, and the clinical rationale for fetal analgesia during invasive procedures. Methods: We performed a targeted narrative search of PubMed/MEDLINE, Google Scholar, the Cochrane Library, reference lists, and professional society websites. The final synt …

03.09.2026journal-article

Frontiers in Medicine

Impact of antiplatelet therapy on erectile dysfunction following percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction

Joongwon Choi, Chung Un Lee, Hyun Woong Park, Jung Hoon Kim, Yong Seong Lee, Jong-Hwa Ahn, Jin Sin Koh, Min Gyu Kang, Weon Kim, Udaya S. Tantry, Paul A. Gurbel, Jin-Yong Hwang, Young-Hoon Jeong

Background: Acute myocardial infarction (AMI) is strongly associated with erectile dysfunction (ED). This study evaluated the association between P2Y 12 receptor inhibitor type and ED, and factors associated with moderate-to-severe ED in high-risk patients with AMI. Methods The HEALING-AMI trial randomized patients with naïve ST-segment elevation myocardial infarction (STEMI) to dual antiplatelet therapy (DAPT) with either ticagrelor or clopidogrel. This substudy included 59 male patients who completed 6 months of …

03.09.2026journal-article

Frontiers in Oncology

Bibliometric and clinical trial landscape of hepatoblastoma (2000–2024): a multi-database analysis of global research

Xu Li, Junyi Lou, Xiaoyu Li, Shibo Tang, Shuang Li, Zining Luo, Jiebin Xie

Background Hepatoblastoma (HB) is the most common childhood liver malignancy, yet its research trajectory and trial landscape remain uncharacterized. Methods We analyzed 219 trials from 16 international registries and 2,635 PubMed publications (2005–2024) using joinpoint regression, Gini coefficient, and diversity indices. Results Trial activity peaked in 2013 and 2016, driven by risk-stratified protocols and the emergence of targeted therapies. Phase III/IV trials were scarce. Cisplatin dominated drug utilization, …

03.09.2026journal-article

Annals of Thoracic Medicine

Prevalence and prognostic significance of obstructive sleep apnea in patients with idiopathic pulmonary fibrosis: A prospective cohort study

Hasibe Çigdem Erten, Sevda Sener Cömert, Gülten Aktin Güngör, Elif Yilmaz, Ayse Havan, Nesrin Kiral

ABSTRACT BACKGROUND: Obstructive sleep apnea (OSA) is a recognized comorbidity in idiopathic pulmonary fibrosis (IPF); however, its true prevalence remains uncertain, and its prognostic implications have not been fully elucidated. This study aimed to determine the prevalence of and risk factors for OSA in patients with IPF and to evaluate its impact on disease progression. METHODS: This prospective study enrolled 50 patients with IPF followed at a tertiary care center. All patients underwent polysomnography (PSG), …

03.09.2026journal-article

Problems of Forensic Sciences

Fatal gunshot wounds from black powder weapons, examined at the Kraków Forensic Medicine Institute

Zuzanna Kozłowska, Anna Stanaszek, Natalia Zabawa, Ewa Baran, Agnieszka Moskal, Anna Sojka, Tomasz Konopka

Black powder weapons include firearms manufactured before 1885 and their modern replicas. They use black powder instead of smokeless one and in Poland they are completely legal to possess and carry, even without a permit. The study aimed to examine cases of fatalities caused by black powder weapons recorded at the Department of Forensic Medicine in Kraków and compare them to deaths resulting from conventional firearms. A review of autopsy reports and photographic documentation from January 2012 to December 2025 was …

03.09.2026journal-article

Oxford Open Digital Health

Leveraging Digital Pathology to Enhance Breast Cancer Diagnosis in Low-Resource Settings: A Cross-Sectional Study of Major Histopathology Laboratories in Uganda

Agnes Rwashana Semwanga, James Serubugo, Vincent Micheal Kiberu, Hawa Nalwoga, Evelyn Kigozi Kahiigi, Nazarius Mbona Tumwesigye, Sam Kalungi

ABSTRACT Background Breast cancer remains a leading cause of morbidity and mortality among Ugandan women, particularly in rural areas where pathology infrastructure and specialist access are limited. This study aimed to improve diagnostic efficiency and accuracy by digitizing breast cancer slides and implementing a web-based histopathology system to support remote diagnostics. Methods A total of 100 glass slides from core breast biopsy samples were digitized using an Aperio AT2 slide scanner. A web-based Breast His …

03.09.2026journal-article

Journal of Palliative Care

Respecting Spinal Cord Injury Patient Autonomy in the Context of Terminal Extubation

Rainy B.S. Wortelboer, Lauren Hall, Fareea Khaliq

Terminal extubation, or palliative or compassionate extubation, is a legally and ethically accepted practice in the United States where mechanical ventilation is withdrawn when ongoing life-sustaining treatment no longer aligns with a patient's stated goals of care. Nearly 42% of intensive care unit deaths involve withdrawal of such measures. Despite its legal acceptance, terminal extubation remains a nuanced decision, particularly in patients with spinal cord injury (SCI). Approximately 18,000 new traumatic SCIs o …