Background/Objectives: Hip fracture mortality analyses may be influenced by aggregation-related changes in association estimates and sparse data bias, particularly for early mortality outcomes. Methods: This retrospective study included 297 patients...
This study examines the socioeconomic and behavioral determinants, together with spatial heterogeneity, influencing the adoption of solar irrigation pumps in Bangladesh. Five study regions of Bangladesh were sampled using stratified random sampling t...
The impact of the COVID-19 pandemic extends beyond the immediate physical effects of the virus, including service adjustments for people living with the human immunodeficiency virus (PLHIV) on antiretroviral therapy (ART). Purpose: To compare treatme...
Bioenergy production from degraded land provides an opportunity to secure a new renewable energy source to meet the rapid growth of energy demand in Indonesia while turning degraded land into productive landscape. However, bioenergy production would...
22 November 2019
The parameters of logistic regression models are usually obtained by the method of maximum likelihood (ML). However, in analyses of small data sets or data sets with unbalanced outcomes or exposures, ML parameter estimates may not exist. This situati...
Background: Celiac disease (CeD) requires lifelong adherence to a strict gluten-free (GF) diet. During the COVID-19 pandemic, the prevailing clinical assumption was that food supply disruptions and dietary management difficulties would be the primary...
Open-sea fishing vessel accidents are difficult to assess systematically because no state holds exclusive jurisdiction, and reporting and investigative duties are not applied consistently. This study analyzed 67 officially reported accidents from the...
Background: Administrative wildfire records can characterize operational and temporal patterns, but causal interpretation requires caution when meteorological, fuel, topographic, and accessibility variables are unavailable. This study examined factor...
Background: Accurately assessing perioperative risk after elective on-pump coronary artery bypass grafting (CABG) is challenging, especially when it comes to identifying patients at high risk for early mortality. We explored whether including periope...
Background/Objectives: In this study, we aimed to identify clinical and laboratory factors associated with wound healing disorders (WHDs) in exclusively non-instrumented lumbar spine surgery using penalized regression analysis. Methods: A retrospecti...
Background: Differentiating nasopharyngeal carcinoma (NPC) from benign nasopharyngeal lesions may be challenging because clinical and endoscopic findings can overlap. This study compared routine inflammatory and hematological biomarkers between patie...
Evidence on modifiable post-diagnosis factors influencing outcomes after intravesical Bacillus Calmette–Guérin (BCG) therapy for high-risk non-muscle-invasive bladder cancer (NMIBC) is limited. In this exploratory, feasibility-focused pr...
Background: Dental anxiety is a common barrier to dental care and may influence treatment-seeking behavior and regular attendance. This study aimed to evaluate dental anxiety using the Modified Dental Anxiety Scale (MDAS), examine its distribution ac...
Background/Objectives: Identifying pregnant women with heightened emotional vulnerability remains a challenge in antenatal care. A positive screening result is a comparatively infrequent event in clinical samples of moderate size, which complicates t...
Background and Objectives: Ticagrelor reduces ischemic events in acute coronary syndrome (ACS) but increases bleeding risk. Clinical predictors of bleeding are well established; the contribution of cytochrome P450 polymorphisms involved in ticagrelor...
Background: Postoperative epileptic seizures are a recognized complication after superficial temporal artery–middle cerebral artery (STA–MCA) bypass for Moyamoya angiopathy (MMA), but their determinants remain incompletely understood. We...
Background: Whether paired invasiveness patterns, particularly when both lesions are invasive adenocarcinoma (IAC + IAC), carry prognostic value beyond single-lesion staging in synchronous multiple primary lung adenocarcinoma (SMPLA) remains unclear....
Canine mammary tumours often present as multiple synchronous nodules, necessitating decisions regarding staging intensity and surgical planning prior to histology. We developed two preoperative nodule-level prediction models using only the medical hi...
Background/Objectives: Individualized risk estimation after stroke depends on prognostic models, which may not transfer between populations. Jewish and Arab patients with acute stroke in the Western Galilee share one regional center and its protocols...
Background/Objectives: A sinus tract communicating with the prosthesis is a diagnostic criterion for periprosthetic joint infection (PJI). This study investigated the association between sinus tract opening count and recorded infection control in hip...
Background/Objectives: This study describes symptomatic intracranial hemorrhage (sICH) after intravenous alteplase in older adults with acute ischemic stroke. Methods: This retrospective single-center cohort included 95 unique patients aged ≥65 ye...
This study examines the sociodemographic, technological, and pedagogical factors associated with the frequency of digital tool use and students’ perceived learning impact in secondary education. A quantitative, non-experimental, cross-sectional...
Lung transplant patients are more likely to develop severe coronavirus disease 2019 (COVID-19) compared with the general population and should be vaccinated against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). However, previous studi...
Background/Objectives: Claudin 18.2 (CLDN18.2) has emerged as a clinically actionable therapeutic target in gastrointestinal malignancies; however, its expression profile and prognostic significance in cholangiocarcinoma (CCA) remain incompletely cha...
Background: Preoperative evaluation in bariatric surgery aims to minimize perioperative risks and identify comorbid abdominal pathologies that may influence surgical planning. The role of routine abdominal ultrasonography (USG) remains debatable. Met...
Background and Objectives: Nonunion remains an important clinical concern after nonoperative treatment of humeral shaft fractures. Although several patient- and fracture-related variables have been proposed as determinants of healing, their independe...
Background/Objectives: Cerebral collateral circulation markers in large core thrombectomy and their impact on functional outcomes have not been extensively reported. Methods: We retrospectively analyzed health system medical records of large core (Al...
Background: Migraine has been associated with vascular dysfunction and adverse pregnancy outcomes. However, the relationship between changes in migraine manifestations during pregnancy and fetal growth remains incompletely understood. This prospectiv...
Background: Diabetic foot ulcer (DFU) is a major complication of type 2 diabetes (T2D), frequently resulting in disability, lower-limb amputation, and substantial healthcare burden. Early identification of patients at high risk of progressing to seve...
Background/Objectives: Pediatric forensic cases represent a growing public health concern and impose substantial burdens on emergency departments (EDs). However, data on operational predictors of ED length of stay (ED-LOS) in this specific population...
In this article, we provide initial findings regarding the problem of solving likelihood equations by means of a maximum entropy (ME) approach. Unlike standard procedures that require equating the score function of the maximum likelihood problem at z...
Background: Even though South Korea had eliminated measles in 2006, a localized cluster of measles occurred in a university dormitory in Gyeongsangbuk-do, South Korea, in 2024, involving 22 international students. This study aims to explore measles t...
Background: Risk stratification after colorectal cancer surgery remains challenging. We evaluated whether a perioperative ratio combining immediate postoperative lactate with preoperative albumin is associated with in-hospital mortality after electiv...
Objective: This study evaluated the association between the preoperative 5-factor Modified Frailty Index (mFI-5) and in-hospital cumulative postoperative morbidity, as measured by the Comprehensive Complication Index (CCI), in patients undergoing col...
Objective: In the context of an aging population, the prevention and control of cognitive impairment is a key public health priority. This study aims to investigate the association between proactive health behaviors and the risk of AD8 screening posi...
Background/Objectives: Maintenance hemodialysis (HD) is associated with poor outcomes after stroke, but its association with access to post-acute rehabilitation remains unclear. We examined rehabilitation transfer and outcomes according to maintenanc...
Objectives: Ankylosing spondylitis (AS) is a chronic inflammatory arthritis with characteristic involvement of the spine and sacroiliac joints. MRI may be the only indicator of disease activity or response. This study aimed to use a novel water fract...
Background: Physicians play a central role in end-of-life decision-making, yet their attitudes toward euthanasia remain complex and context-dependent. This study aimed to examine physicians’ attitudes toward euthanasia in Türkiye, focusing...
Background: Patients with malignant diseases receiving chronic opioid therapy are particularly susceptible to drug–drug interactions because of extensive polypharmacy, multimodal anticancer treatment, supportive care, and comorbidities. This st...
Background/Objectives: Preoperative discrimination of complicated appendicitis in children remains challenging but crucial for timely surgical decision-making and perioperative management. We aimed to develop a simple, clinically applicable scoring s...
Background and Objectives: Pregnancy is accompanied by physiological, hormonal, immunological, and metabolic changes that may increase susceptibility to infections and adverse maternal or fetal outcomes. This study aimed to evaluate hygiene- and nutr...
Background/Objectives: Stenotrophomonas maltophilia is a common cause of lower respiratory tract infection (LRTI) in critically ill patients, but differences between ventilator-associated tracheobronchitis (VAT) and ventilator- or hospital-acqui...
Background: Pre-eclampsia causes endothelial dysfunction and altered vascular reactivity, which may increase perioperative risk, particularly under the physiologic stress of general anesthesia (GA). However, the evidence regarding its independent eff...
Background: The mid-term prognosis after transcatheter tricuspid valve replacement (TTVR) is poorly defined, and echocardiographic predictors remain uncertain. Objectives: To describe mid-term all-cause mortality, 30-day major adverse events (MAEs),...
Background/Objectives: Transjugular liver biopsy (TJLB) occasionally fails, most commonly because of difficulty in hepatic vein (HV) catheterization. We investigated whether the HV–inferior vena cava (IVC) confluence angle measured on CT or MRI...
Pediatric tuberculosis (TB) remains diagnostically challenging because of nonspecific presentations and the frequent absence of microbiological confirmation. We aimed to characterize pediatric TB patients presenting to a non-specialized tertiary hosp...
Objective: Vulvovaginal candidiasis (VVC) is a common condition in clinical practice, and the absence of standardized diagnostic criteria based solely on clinical findings remains a challenge. This study aimed to evaluate the distribution of Candida...
Against the backdrop of steadily growing beef consumption and accelerating competition toward brand differentiation, this study investigates how consumer brand awareness influences branded beef purchasing behavior. Drawing on survey data from 273 bra...
Background/Objectives: The clinical history preceding diabetic ketoacidosis (DKA) and the acute hospital course may reflect different vulnerabilities. We examined factors associated with previous DKA and total hospital length of stay in adults admitt...
Chronic periodontitis (CP) is associated with cardiovascular disease and mortality in different populations. The aim of this study was to examine an association of CP with hard endpoints in patients after kidney transplantation during a 15-year follo...
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