CONCLUSION: Rates of osteoporosis-directed investigations and treatment after minimal trauma fractures in primary care are below recommended levels. There remains a gap between observed management practices and established guidelines. A major barrier appears to be the reliance on DXA for confirmation of osteoporosis despite the presence of a minimal trauma fracture. →

CONCLUSION: Etomidate combined with transversus abdominis plane block provides stable anesthesia and modulates perioperative inflammatory and immune responses while reducing postoperative biochemical pain mediator levels, thereby supporting a safer and more physiologically balanced recovery following ovarian cancer surgery. →

Pediatric rhinitis is a common recurrent disorder that may progress to asthma or sinusitis in severe cases. This study aimed to compare the efficacy of different doses of glucocorticoid nasal spray combined with loratadine for rhinitis in children, and provide evidence for optimizing clinical treatment. A total of 150 children with rhinitis admitted from June… →

CONCLUSION: Short- and standard-course ceftriaxone sodium have similar overall efficacy. A short-course is suitable for mild cases with a prompt inflammatory response, while a standard-course is preferred for severe cases or delayed inflammation to prevent relapse. →

CONCLUSIONS: Family size might not always be associated with short-term intervention effectiveness but was associated with divergence in longer-term trajectories. These findings suggest that caregiving demands are relevant for the sustainability of intervention effects. By integrating baseline differences, short-term effects, and longitudinal trajectories within a single framework, this study highlights the importance of moving beyond… →

CONCLUSIONS AND RELEVANCE: In this randomized clinical trial of structured ENC triggered by a machine-learning AKI risk score, there was no difference in ΔSCr. AKI consultation recommendations were not followed the majority of time; whether increasing adherence to recommendations could improve outcomes deserves further study. →

CONCLUSION: IMT is feasible and safe in medically fragile MCS patients and may induce right-hemisphere cortical activation. These pilot findings are hypothesis-generating and require confirmation in larger, adequately powered trials. →

CONCLUSIONS: Early implementation of CRRT in patients with ECMO showed no evidence of a difference in 30-day mortality compared with conventional initiation. However, the trial was substantially underpowered and clinically important benefits or harms cannot be excluded. →

CONCLUSION: Both GGR and SNAPPS teaching methods effectively enhance CR skills among undergraduate medical students. However, GGR demonstrated greater effectiveness in CR domains requiring deeper analytical thinking and collaborative reflection, especially when managing complex cases. Incorporating GGR within undergraduate clinical clerkships may strengthen diagnostic reasoning, particularly in settings with limited faculty-student teaching opportunities. →