CONCLUSION: Primary care providers with results from a definitive saliva-based test for MNA and DDI were significantly more likely to identify those common challenges and make appropriate updates to the patient’s treatment plan. This has important implications for improving quality and value, especially for the millions of patients with chronic conditions on multiple medications. →

To describe and standardize a position-guided nasopharyngeal irrigation protocol for post-radiotherapy nasopharyngeal ulceration (RINU) in patients with nasopharyngeal carcinoma (NPC), a prospective comparative clinical setting was used among 184 patients diagnosed with RINU between January and March 2025. Participants were randomly assigned to receive either routine manual irrigation (n = 92) or irrigation using an… →

This study analyzed the impact of crisis management on premature rupture of membranes (PROM). Between March 2023 and April 2025, 146 pregnant women diagnosed with PROM were recruited from Heilongjiang Provincial Hospital. The cohort was randomized using computer-generated random numbers with concealed allocation envelopes into an intervention group (n=73) employing crisis management strategies and a… →

BackgroundThe routine use of postoperative drainage after total knee arthroplasty (TKA) remains controversial, particularly in the era of modern blood-saving strategies. While drains have traditionally been used to reduce hematoma formation, their effect on early postoperative pain has not been clearly established. This study aimed to evaluate whether postoperative drainage influences early pain outcomes following… →

CONCLUSION: NHF reduced RR by shortening both inspiratory and expiratory times without altering the duty cycle. The lower MV during NHF with AI, accompanied by higher SpO(2), may indicate improved gas exchange efficiency. The use of AI could enhance the respiratory support effects of NHF in patients with advanced COPD. →

CONCLUSION: The EMDR-IGTP-OTS is a promising intervention for reducing trauma related parental stress symptoms in parents of children with NDDs. Its high feasibility makes it a suitable option for integration into clinical practice to support families facing trauma-related parenting challenges. →

CONCLUSION: Edaravone improved the short-term level of consciousness in severe HIE adult patients, but there was no significant effect on outcome and level of independence in performing activities of daily living. Further investigation into Edaravone’s effectiveness is warranted, particularly in patients with milder forms of HIE, as well as longer follow-up periods. →

BACKGROUND: In sub-Saharan Africa, the burden of diabetes and hypertension is high, alongside a high prevalence of HIV. Whether these conditions can be managed in an integrated way in the community is unknown. We aim to compare integrated community-based care with integrated facility-based care for people with HIV, diabetes, and hypertension in Tanzania and Uganda. →

BACKGROUND AND PURPOSE: Chronic cervical pain is a common disorder and is difficult to manage. Therefore, this study was conducted to investigate the effects of nociceptor hypostimulation versus hyperstimulation on electromyographic (EMG) activity of cervical muscles, myofascial trigger point (MTP) sensitivity, pain intensity, and disability in patients with chronic cervical pain. →