Exploring the subtle and novel renal pathological changes in diabetic nephropathy using clustering analysis with deep learning by Tomohisa Yabe, Yuko Tsuruyama, Kazutoshi Nomura, Ai Fujii, Yuto Matsuda, Keiichiro Okada, Shogo Yamakoshi, Yuya Hamabe, Shogo Omote, Akihiro Shioya, Norifumi Hayashi, Keiji Fujimoto, Yuki Todo, Tatsuro Tanaka, Sohsuke Yamada, Akira Shimizu, Katsuhito Miyazawa, Hitoshi Yokoyama, Kengo Furuichi

“…Abstract To decrease the number of chronic kidney disease (CKD), early diagnosis of diabetic kidney disease is required. …”
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Sonication: A Valuable Technique for Diagnosis and Treatment of Periprosthetic Joint Infections by D. S. Evangelopoulos, I. P. Stathopoulos, G. P. Morassi, S. Koufos, A. Albarni, P. K. Karampinas, A. Stylianakis, S. Kohl, S. Pneumaticos, J. Vlamis

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Radiological, Clinical, and Histological Findings in the Treatment of Pilonidal Sinus with Phenol Injection by Tonguc Utku YILMAZ, Omer YAVUZ, Ahmet Oktay YIRMIBESOGLU, Hasan Tahsin SARISOY, Cigdem VURAL, Umay KIRAZ, Nihat Zafer UTKAN

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Safety and effectiveness of laparoscopic renal biopsy: a single-center review and meta-analysis by Lingling Xu, Xueqin Bian, Jian Yang, Hongying Xu, Yi Fang, Junwei Yang, Lei Jiang, Ping Wen

“…In the meta-analysis, the success rate of operation, satisfactory rate of sample, and complication rate of surgery were 99.9%, 99.1%, and 2.6% respectively.Conclusion LRB can achieve a good success rate and specimen retrieval and does not increase the risk of complications for high-risk patients. …”
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Comparison of three-dimensional digital exoscope to standard operating microscope in minimally-invasive lumbar decompression: A cohort study in a community setting by Daniel E. Fulkerson, Evan Medich, Dale F. Szpisjak, Daniel H. Fulkerson

“…Patients were categorized by visualization method and number of surgical levels, for a total of four groups. …”
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High mortality rates and long-term complications in children with infectious brainstem encephalitis: A study of sixteen cases. by Yuanyuan Zhou, Yi Zhu, Lingfeng Cao, Yingyan Shi, Jun Shen

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Intravitreal Melphalan for Vitreous Seeds: Initial Experience in China by Xunda Ji, Peiyan Hua, Jing Li, Jiakai Li, Junyang Zhao, Peiquan Zhao

“…There is a significant difference in response to intravitreal melphalan for cloud, spheres, and dust seeds with a median number of injections of 9, 6, and 3, respectively (P=0.003). …”
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Clinical significance of retrograde inferior parathyroid protection technique based on thymus preservation in thyroid surgery by Shouyi Yan, Yuhan Chen, Wenxin Zhao, Liyong Zhang, Shaojun Cai

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Real-world clinical and economic impacts of delayed rotator cuff repair surgery in Japan: analysis of a large claims database by Hiroyuki Sugaya, MD, Yuki Otaka, BS, Yuichi Shiotsuki, MS, MPH, Akie Seno, BSc, MBA

“…Results: Of 1243 RCR patients, 68.9% were male and the mean (standard deviation [SD]) age was 55.3 (8.9) years. …”
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Transforming Non-Digital, Clinical Workflows to Detect and Track Vision-Threatening Diabetic Retinopathy via a Digital Platform Integrating Artificial Intelligence: Implementation... by Peranut Chotcomwongse, Paisan Ruamviboonsuk, Chaiwat Karavapitayakul, Koblarp Thongthong, Anyarak Amornpetchsathaporn, Methaphon Chainakul, Malee Triprachanath, Eckachai Lerdpanyawattananukul, Niracha Arjkongharn, Varis Ruamviboonsuk, Nattaporn Vongsa, Pawin Pakaymaskul, Turean Waiwaree, Hathaiphan Ruampunpong, Richa Tiwari, Viroj Tangcharoensathien

“…Trial Registration ClinicalTrials.gov. (registration number: NCT05166122).…”
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Detection of atrial fibrillation in primary care with radial pulse palpation, electronic blood pressure measurement and handheld single-lead electrocardiography: a diagnostic accur... by Wim A M Lucassen, Henk C P M van Weert, Bjorn Winkens, Henri E J H Stoffers, J André Knottnerus, Steven B Uittenbogaart, Nicole Verbiest-van Gurp, Petra M G Erkens

“…Exclusion criteria were terminal illness, inability to give informed consent or visit the practice or having a pacemaker or an implantable cardioverter-defibrillator.Outcomes Diagnostic accuracy of individual tests and test combinations to detect unknown AF.Results We included 4339 patients; 0.8% showed new AF. Sensitivity and specificity were 62.8% (range 43.1%–69.7%) and 91.8% (91.7%–91.8%) for radial pulse palpation, 70.0% (49.0%–80.6%) and 96.5% (96.3%–96.7%) for electronic blood pressure measurement and 90.1% (60.8%–100%) and 97.9% (97.8%–97.9%) for handheld ECG, respectively. …”
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Preoperative neck ultrasound combined with pathological data can significantly impact the outcome of medullary thyroid carcinoma by Maurilio Deandrea, Tommaso Piticchio, Alberto Mormile, Francesca Retta, Giovanni Canale, Alessandra Caracciolo, Lorenzo Daniele, Pierpaolo Trimboli

“…Kaplan-Meier curves and Cox and logistic regression analyses were performed, and the hazard ratio (HR) was calculated. Seventy-three MTC patients (median age 58 yr) were found. Disease-free survival was significantly different according to staging (HR: 9.12; p = 0.037), capsular status (HR: 5.49; p = 0.02), and neck US (HR: 9.19; p = 0.04). …”
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Mushroom Intoxication in Türkiye: A Nationwide Cohort Study Based on Demographic Trends, Seasonal Variations, and the Impact of Climate Change on Incidence by Dilara Turan Gökçe, Derya Arı, Naim Ata, Hale Gökcan, Ramazan İdilman, Mustafa Mahir Ülgü, Murat Harputluoglu, Mesut Akarsu, Zeki Karasu, Mustafa Okan Ayvalı, Şuayip Birinci, Meral Akdoğan Kayhan

“…The study focused on patients without chronic liver disease or prior liver transplantation presenting with mushroom intoxication between 2018 and 2023. …”
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Can primary care research be conducted more efficiently using routinely reported practice-level data: a cluster randomised controlled trial conducted in England? by Jeremy Horwood, Alastair D Hay, Patricia Jane Lucas, Clare Clement, Peter S Blair, Jodi Taylor, Christie Cabral, Martin C Gulliford, Jenny Ingram, Padraig Dixon, Nick Francis, Athene Lane, Grace Young, Elizabeth Beech, Penny Seume, Scott Bevan, Sam T Creavin

“…Objectives Conducting randomised controlled trials (RCTs) in primary care is challenging; recruiting patients during time-limited or remote consultations can increase selection bias and physical access to patients’ notes is costly and time-consuming. …”
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The Effect of Platelet and Mean Platelet Volume Levels on Standard-dose Methylprednisolone Treatment Response in Primary Immune Thrombocytopenia by Emrah KILICASLAN, Murat YILDIRIM, Selim SAYIN, Erdem CEVIK, Meltem AYLI, Muhammet Kursat KAPTAN

“…Results: One hundred forty four patients with ITP were included in the study. The number of patients with NR, R, and CR were 47 (33%), 40 (28%), and 57 (39%), respectively. …”
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Comparison of the Disposable Streamlined Liner of the Pharynx Airway and the Disposable I-gel in Anaesthetized, Paralyzed Adults: A Randomized Prospective Study by Khaled EL-Radaideh, Ala"a Alhowary, Diab Bani Hani

“…Oropharyngeal sealing pressure was significantly higher in SLIPA (28.76±3.11 cmH2O) than in I-gel (25.9±3.65 cmH2O) subjects (P=0.001). Blood staining occurred more frequently in SLIPA (n=8, 19.0%) than in I-gel (n=5, 13.2%) patients (P<0.01). …”
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A novel “lateral approach short axis in-plane” technique vs. conventional “short-axis out-of-plane approach” for ultrasound-guided internal jugular vein access: a prospective rando... by Michal Kalina, Patricia Vargová, Adéla Bubeníková, Roman Škulec, Vladimír Černý, David Astapenko

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Outcomes and safety of mechanical thrombectomy, alteplase, and conventional medical care in the treatment of acute M2 segment middle cerebral artery occlusion: a comparative study by Eman M. Khedr, Ahmed Elbassiouny, Mahmoud Nageeb, Ahmed Aly, Khalid O. Mohamed, Nourelhoda A. Haridy

“…Successful recanalization occurred in 73.9% of the MT group. 69% of the MT group required stent retrieval plus aspiration thrombectomy, and 60.9% required ≥ 3 trials, but outcomes did not differ by technique or number of trials. …”
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A Prediction Model for External Root Resorption of the Second Molars Associated With Third Molars by Zhengwei Kou, Wuyang Zhang, Chen Li, Yu Zhang, Zijian Song, Yuzhen Zou, Haijing Wang, Zhenghua Liu, Bahetibieke Huerman, Tiange Deng, Kaijin Hu, Yang Xue, Ping Ji

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Improving glycemic control by transitioning from the MiniMedTM 640G to 770G in Japanese adults with type 1 diabetes mellitus: a prospective, single-center, observational study by Satoshi Kubota, Ai Sato, Manami Hosokawa, Yosuke Okubo, Shohei Takayama, Atsuko Kaneko, Yasuho Shimada, Yuki Asano, Yoshihiko Sato, Masanori Yamazaki, Mitsuhisa Komatsu

“…There was a significant reduction in time above the range (181–250 mg/dL: 25.8 [20.9–28.6] to 19.5 [17.1–22.1] %, p &lt; 0.001; &gt;251 mg/dL: 8.7 [4.0–13.0] to 4.7 [3.6–9.1] %, p &lt; 0.001). …”
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