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

Journal of Intensive Care Medicine

Maternal Sepsis for the Intensivist: Recognition, ICU Triage, and Pregnancy-Adapted Management

Felicia Chen

Sepsis in pregnancy and the puerperium is a leading, and often preventable, cause of maternal critical illness. This narrative review summarizes pregnancy-adapted physiology, epidemiology, clinical recognition, intensive care unit triage, and management, with particular emphasis on decision-making around ICU admission and the practical delivery of organ support for intensivists who do not routinely manage obstetric patients.

03.09.2026journal-article

International Journal of Science, Strategic Management and Technology

White Spot Lesions Following Orthodontic Treatment: Contemporary Management

Y.Muni Akash

White spot lesions (WSLs) often develop after fixed orthodontic treatment. They appear as milky white spots on teeth due to enamel demineralization. These lesions are a common aesthetic concern, affecting 45.8% to 97% of orthodontic patients [1]. Today, dentistry focuses on non-invasive remineralization therapies to treat WSLs and prevent their progression.

03.09.2026journal-article

Frontiers in Oncology

Deep learning model using contrast-enhanced CT imaging features and clinical variables to predict surgical risk after hepatic resection for hepatocellular carcinoma

Kimika Kato, Yasuhito Mitsuyama, Hiroji Shinkawa, Takuma Okada, Atsushi Sugimoto, Ryota Tanaka, Sadaaki Nishimura, Jun Tauchi, Masahiko Kinoshita, Genki Watanabe, Kohei Nishio, Takeaki Ishizawa

Background Accurate preoperative risk assessment is crucial for patients undergoing hepatic resection for hepatocellular carcinoma (HCC). Conventional prediction methods are limited by the inability to capture complex relationships among multiple factors, and existing deep learning (DL) approaches focus on individual surgical outcomes. In this study, we developed and evaluated a DL model that integrates preoperative contrast-enhanced computed tomography (CT) imaging features and clinical variables to predict intrao …

03.09.2026journal-article

Frontiers in Medicine

Facial discoid lupus erythematosus complicated by a Candida tropicalis fungal granuloma in a patient with rhupus syndrome: a case report of successful treatment with oral itraconazole

Lingling Dong, Ting Zhang, Tong Hua, Yan Wang, Zhenhua Nie, Qingkang Lyu, Zuotao Zhao

Discoid lupus erythematosus (DLE) is a chronic cutaneous subtype of lupus erythematosus characterized by inflammatory lesions that are highly susceptible to secondary infection, particularly in immunocompromised individuals. Cutaneous fungal granulomas caused by Candida tropicalis and superimposed on pre-existing DLE lesions are exceedingly rare and pose substantial diagnostic challenges. We report the case of a 48-year-old female patient with a 2-year history of rheumatoid arthritis (RA), who presented with facial …

03.09.2026journal-article

Journal of Dance Medicine & Science

Dance as Rehabilitation in Parkinson’s Disease: A Scoping Review of Motor, Non-Motor, and Cognitive Outcomes

Simran Rooprai, Nicholas Ramcharran, Caitlin van den Hoorn, Jenna Smith-Turchyn, Nicole D. Anderson, Joseph FX DeSouza

Introduction: Dance is a multimodal experience, integrating movement and music, with cognitive and psychosocial effects, potentially providing a non-pharmacological care approach for persons with Parkinson’s disease (PwPD). While numerous studies have investigated motor outcomes following dance interventions, less is known about the degree to which cognitive and non-motor outcomes are explored. The objective of this scoping review was to explore the scope and characteristics of dance-based interventions for PD, foc …

03.09.2026journal-article

Current Opinion in Otolaryngology & Head & Neck Surgery

Tympanomastoidectomy canal wall reconstruction with mastoid obliteration

Adam S. Vesole, Ravi N. Samy

Purpose of review To describe the various techniques in performing a tympanomastoidectomy canal wall reconstruction with mastoid obliteration for surgical management of chronic otitis media and cholesteatoma, and to assess the outcomes and complications compared to the more traditional canal wall up and canal wall down surgical techniques. Additionally, the purpose of this review is to highlight the versatility and novelty of this approach in addressing other middle ear pathologies such as glomus tympanicum. Recent …

03.09.2026journal-article

Global Spine Journal

Characteristics of Patients Achieving Clinically Meaningful Improvement in Neuropathic Pain After Surgery for Degenerative Cervical Myelopathy

Narihito Nagoshi, Junichi Yamane, Toshiki Okubo, Hitoshi Kono, Kentaro Fukuda, Takeshi Fujii, Yosuke Horiuchi, Yasuhiro Kamata, Norihiro Isogai, Takahito Iga, Kazuki Takeda, Masahiro Ozaki, Satoshi Suzuki, Morio Matsumoto, Masaya Nakamura, Kota Watanabe

Study Design Retrospective analysis of a prospectively maintained multicenter cohort. Objectives To identify clinical characteristics associated with clinically meaningful improvement in neuropathic pain and to evaluate its relationship with postoperative functional outcomes in patients with degenerative cervical myelopathy (DCM). Methods Among 816 patients with complete Neuropathic Pain Symptom Inventory (NPSI) data, 597 with baseline total NPSI scores ≥7 were included in the primary analysis because they were eli …

03.09.2026journal-article

Journal of Public Health and Preventive Medicine

Research Progress on the Impacts of Social Isolation and Loneliness on the Health of the Elderly

Elisa M. Carter, Ryan D. Simmons, Megan L. Henderson, Julia A. Bennett

Social isolation and loneliness have emerged as critical public health concerns affecting older adults worldwide. Despite being distinct concepts—social isolation referring to the objective lack of social connections and loneliness representing the subjective distress of feeling alone—both conditions are associated with profound adverse effects on physical and mental health. This narrative review synthesizes current research on the conceptual definitions, measurement tools, health impacts, intervention strategies, …

03.09.2026journal-article

Journal of Clinical Medicine

Long-Term Effects of Right Ventricular Pressure and Volume Overload: A Comparative Analysis in an Ovine Model

Hamida Al Hussein, Hussam Al Hussein, Simina-Elena Ghiragosian-Rusu, Simona Gurzu, Rita Szodorai, Carmen Sircuta, Marius Stefan Marusteri, Bogdan Cordos, David Emanuel Anitei, Andrei Atudorei, Sergiu Crisan, Dan Simionescu, Klara Brinzaniuc

Background/Objectives: Pressure overload (PO) and volume overload (VO) represent important mechanisms underlying right ventricular (RV) failure; however, long-term comparative data regarding their distinct pathophysiological consequences remain limited. This study aimed to compare the long-term effects of PO versus VO in a large animal model. Methods: Juvenile sheep were randomly assigned to either a PO group (n = 7) or a VO group (n = 8). PO was induced by pulmonary artery banding, whereas VO was induced by pulmon …

03.09.2026journal-article

Annals of Human Resource Management Research

Healthcare Human Resource Development: Organizational Support and Work Engagement among Clinical Clerkship Students

Gunawan Eko Nurtjahjono, Hefry Johan Ferdhianzah

Purpose: This study examined work engagement among clinical clerkship students from a healthcare human resource development perspective. Specifically, it analyzes how perceived organizational support and the clinical learning environment influence work engagement during pediatric clinical education and evaluates whether the clinical learning environment functions as a moderating condition in this relationship. Methodology: A quantitative cross-sectional survey involving 251 clinical clerkship students at Rumah Saki …

03.09.2026journal-article

European Journal of Trauma and Emergency Surgery

Repeated scoring with the adult appendicitis score improves the sensitivity and the specificity of appendicitis diagnosis in patients with early equivocal signs of appendicitis: a secondary analysis

Kirsi S. Lastunen, Ari K. Leppäniemi, Panu J. Mentula

Abstract Purpose The utilization of computed tomography in the early stage of acute appendicitis may result in overdiagnosis and unnecessarily expose patients to ionising radiation. The Adult Appendicitis Score (AAS) can be used to select patients for imaging. Observation and re-scoring in the DIAMOND trial reduced the need for imaging. Now, we wanted to determine if the change in AAS (∆AAS) can serve as a diagnostic tool to select patients for imaging even more precisely. Methods Eighty-eight patients with early e …

03.09.2026journal-article

Journal of Clinical Pathology

Anaplastic lymphoma kinase immunohistochemical positivity in high-grade pulmonary neuroendocrine carcinoma: an actionable signal or merely a shadow?

Ullas Batra, Sabeena Choudhary, Ritwika Choudhury, Alka Yadav, Mansi Sharma, Abhinav Dewan, Sunil Pasricha, Anurag Mehta, Priyanka Venkataraman

Aims Anaplastic lymphoma kinase (ALK) rearrangements are actionable drivers in non-small cell lung carcinoma (NSCLC), but the biological significance of ALK-immunohistochemistry (IHC) positivity in high-grade pulmonary neuroendocrine carcinoma (NEC) remains unclear. This study evaluated the diagnostic and therapeutic implications of discordant ALK IHC and genomic findings and the role of multimodal molecular testing in resolving them. Methods We retrospectively analysed eight South Asian patients (Indian and Nepali …

03.09.2026journal-article

Clinical Spine Surgery

Assessing Global Upper Extremity Function Before and After Decompressive Surgery in Patients With Degenerative Cervical Myelopathy (DCM)

Angie Zhang Lung, John Hong, Vicky Chan, Maya N. Hatch, Jay J. Han, Yu-Po Lee, Nitin N. Bhatia, Michael Oh

Study Design: A total of 20 patients with degenerative cervical myelopathy (DCM) and a plan for surgical decompression were recruited in this pilot study to assess a new outcome measure. Patients were evaluated preoperatively and 3 months, 6 months, and 1 year postoperatively using a 3-dimensional motion-tracking application (reachable workspace) to calculate an upper extremity (UE) relative surface area (RSA) and standard measurements [modified Japanese Orthopedic Association (mJOA), 12-Item Short Form Health Surv …

03.09.2026journal-article

Journal of Clinical Investigation

Enhancing Gemcitabine Uptake by Promoting Dimerization of the ENT1 Transporter Improves Sarcoma Patient Response Rate

Aditya Ganju, Shyam Rao, Mark A. Dickson, Robert A. Lefkowitz, Chris Thompson, Jin Cheng, Katia Manova, Adriana Haimovitz-Friedman, Gary Schwartz, Zhigang Zhang, Zvi Fuks, William D. Tap, Richard Kolesnick

Transport of nucleoside chemotherapeutic drugs into tumor cells is primarily accomplished through Equilibrative Nucleoside Transporter 1 (ENT1), considered to be constitutively-active, redistributing drugs across lipid bilayers via facilitated diffusion. Here we discover that ENT1 is not constitutively-active but rather requires activation of acid sphingomyelinase (ASMase) by gemcitabine, generating ceramide-rich platforms (CRPs) on external plasma membranes of endothelial and tumor cells into which ENT1 inserts, d …

03.09.2026journal-article

Military Medicine

Military Medical Training for Role 1 and Role 2 Combat Casualty Care Skills: A Narrative Review

Jennifer L Patton, Kiffin R Smallegan, Emily R Latimer, Anna R Prendergast, Gary J Jimenez Pena, Angela K Phillips

Abstract Introduction Military medics are often tasked to train other medics. While there is ample content of what to train, there exists a lack of trainer education or emphasis on how to train others effectively. Current military medical training is highly variable, often relying on anecdotal methods, with limited evaluation of training effectiveness. Although the importance of readiness training is well recognized, little attention has been devoted to identifying evidence-based approaches for training military me …

03.09.2026journal-article

Clinical Anatomy

Integrating Professional‐Values‐Oriented Education Into PBL Teaching: Practice Based on Case Discussions in Anatomy Curriculum

Liu He, Yunwen Hu, Chengjun Hu

ABSTRACT This study, conducted among first‐year undergraduates, investigates the feasibility of integrating professional‐values‐oriented education into the discussion‐based human anatomy teaching module via the problem‐based learning (PBL) model. Over a three‐year reform period, PBL cases combining clinical scenarios with professional‐values‐oriented elements were designed and implemented specifically for this human anatomy module; the effectiveness of this approach was subsequently evaluated through a systematic a …

03.09.2026journal-article

Clinical and Translational Discovery

Gene therapy for hereditary deafness: Progress, challenges and translational implications from OTOF to GJB2

Jiahui Zhao, Mengzhao Xun, Yu Sun

Abstract Background Hereditary deafness is a common sensory disorder in infants and children. Gene therapy has achieved major clinical breakthroughs in OTOF ‐related deafness, establishing proof of concept for treating monogenic hearing loss. In contrast, GJB2 ‐related hearing loss remains more challenging because of its broad cochlear expression, complex supporting‐cell targets, developmental involvement, and narrow therapeutic window. Methods We reviewed recent advances in hereditary deafness gene therapy, focusi …

03.09.2026journal-article

Clinical Chemistry and Laboratory Medicine (CCLM)

Validation of synthetic M-protein materials for external quality assessment: homogeneity, commutability, and stability

Moniek M. Bioch, Theo Rispens, Corrie M. de Kat Angelino, Anke J. ten Haaken-Meijer, Miranda van Berkel, Marc H.M. Thelen, Joannes F.M. Jacobs

Abstract Objectives Accurate quantification of M-proteins is important for clinical management of monoclonal gammopathies. Reliable assessment of trueness on M-protein quantification in External Quality Assessment (EQA) schemes is difficult due to the lack of reference methods and materials for target value assignment. We propose a strategy to produce targeted synthetic M-protein EQA materials by spiking known amounts of human(ised) therapeutic monoclonal antibodies (t-mAb) into null serum. This paper validates hom …

03.09.2026journal-article

Frontiers in Cardiovascular Medicine

A refined phenomenological model of viscoelastic clot formation and lysis in trauma-induced coagulopathy

Guanyun Liu, Amanda E. Shick, Maya Shamash, Caroline M. Cook, Mario L. Molina, Mitchell J. Cohen, Amor A. Menezes

Background Hyperfibrinolysis is strongly associated with early post-injury mortality, but the condition is preventable with timely detection and targeted interventions. Unfortunately, current hyperfibrinolysis diagnostic assays such as thromboelastography (TEG) are time-consuming, making them infeasible for use in real-time treatment strategies to guide adjustable, precise, and personalized interventions. Computational models offer a fast alternative to current practice for ascertaining patient hemostatic state fro …

03.09.2026journal-article

Ege Tıp Dergisi

Can preoperative thrombocytopenia be a risk indicator for emergency surgery due to liver transplant complications?

Emrah Şahin, Ender Anılır, Abuzer Dirican, Bülent Ünal

Aim: This study aimed to investigate the effect of preoperative thrombocytopenia and other risk factors on the need for emergency surgery due to complications following living donor liver transplantation (LDLT), and to evaluate the impact of emergency surgery on patient survival.Materials and Methods: The data of 270 patients who underwent LDLT for end-stage liver disease between July 2021 and October 2023 were analyzed retrospectively. Patients were divided into two groups: those requiring postoperative emergency …

03.09.2026journal-article

Clinical Microbiology Reviews

Emerging tick-borne viral diseases in East Asia: pathology-driven insights into pathogenesis and disease causality

Yuichiro Hirata, Yusuke Sakai, Tadaki Suzuki

SUMMARY Tick-borne viral infections have emerged as a significant and growing public health concern. In East Asia, severe fever with thrombocytopenia syndrome (SFTS) has served as a prototypical disease in which pathological analyses have substantially advanced the understanding of disease pathogenesis. SFTS is characterized by profound immune dysregulation driven by viral tropism for plasmablast-lineage B cells, leading to cytokine storm and hemophagocytic syndrome. Complementary analyses of human clinical specime …

03.09.2026journal-article

Magnetic Resonance Materials in Physics, Biology and Medicine

Age-dependent macromolecule signals in the human motor cortex and thalamus: implications for metabolites quantification at 7 T

Xinyu Liu, Gianna Nossa, Ying Xiao, Selin Scherrer, Sven Egger, Benedikt Lauber, Wolfgang Taube, Ulrike Dydak, Lijing Xin

Abstract Objective Macromolecular (MM) signals overlap with metabolite signals, but MM content differences across age and brain region and their influences on brain metabolites quantification have remained elusive. While most studies assume universal MM content when assessing neurochemical levels, region- and age-related MM differences could result in inaccurate quantification of metabolites. This study assesses MM differences linked to specific brain regions and age by analyzing their influence on metabolite signa …

03.09.2026journal-article

International Journal of Clinical Pharmacy

A qualitative analysis to identify implementation strategies for a deprescribing clinical practice guideline using the CFIR-ERIC Matching Tool: perspectives from consumers and professional stakeholders

Hui Wen Quek, Xisco Reus, Kenneth Lee, Veronika Seda, Leon Adams, Osvaldo P. Almeida, Gillian E. Caughey, Jennifer Gowan, Kerryn Hart, Andrew Heredia, Anne-Marie Hill, Lisa Kalisch Ellett, Dina LoGiudice, Arduino A. Mangoni, Anthony Marinucci, Treasure McGuire, Nilufeur McKay, Vasi Naganathan, Christopher Ng, Maz Osborne, Kevan R. Polkinghorne, Constance D. Pond, Sepehr Shakib, Angela Shiu, Andrew Stafford, Tim Whitmore, Christopher Etherton-Beer, Amy Page

Abstract Introduction Deprescribing is the planned withdrawal or dose reduction of medicines when harms outweigh benefits or when they are no longer required. Following publication of the Clinical Practice Guideline for Deprescribing in Older People in September 2025, supporting its uptake into routine practice is a critical next step. Aim This study aimed to identify implementation strategies, informed by stakeholder-perceived barriers, to support the implementation of deprescribing guidelines. Method A qualitativ …

03.09.2026journal-article

Veredas do Direito

DIAGNOSIS OF THE LEVEL OF ADOPTION OF GREEN LOGISTICS PRACTICES IN FREIGHT TRANSPORT COMPANIES IN LÁZARO CÁRDENAS, MICHOACÁN

María Del Mar Plancarte Muñoz, Ofelia Barrios Vargas, Luis Fernando Hernández Díaz, Samuel David Soriano López, Samuel Fernando Cárdenas Betancourt

The objective of this research was to diagnose the level of adoption of green logistics practices in federal freight transportation companies operating in Lázaro Cárdenas, Michoacán. A quantitative, descriptive, non-experimental, and cross-sectional study was conducted using a structured questionnaire that assessed the dimensions of fleet management, route optimization, energy efficiency, environmental management, and information technologies. The results show a moderate level of adoption of green practices. The sa …