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The HEART score has less utility with high sensitivity troponin

Abstract: Clinical risk scores for acute chest pain evaluation were largely validated using older troponin assays. We sought to analyze the HEART score and clinical decision…

Date: 2026-07-16

Hydrocephalus as a consistent predictor of in-hospital mortality in tuberculous meningitis: no age-specific effect modification in a lifespan cohort

Abstract: Tuberculous meningitis (TBM) remains the most lethal manifestation of extrapulmonary tuberculosis, with persistently high in-hospital mortality despite advances in…

Date: 2026-07-16

Clinical outcomes of atrial tachyarrhythmia hospitalizations with and without prior thoracic irradiation

Abstract: Thoracic radiation therapy (TRT) is commonly used for breast, lung, and lymphoid cancers. While its cardiotoxic effects, particularly coronary artery disease, are well…

Date: 2026-07-16

A transfer learning-based multimodal model for early prediction of 90-day respiratory failure in dermatomyositis-associated interstitial lung disease

Abstract: Dermatomyositis-associated interstitial lung disease (DM-ILD) is a life-threatening condition that often leads to respiratory failure, poor prognosis, and high…

Date: 2026-07-16

Clinical characteristics, tongue manifestations, and traditional Chinese medicine syndrome patterns of spring influenza A in children: a single-center retrospective study

Abstract: To systematically analyze the clinical manifestations, dynamic changes in hematological parameters, traditional Chinese medicine (TCM) tongue characteristics, and…

Date: 2026-07-16

First-time postpartum motherhood during armed conflict: experiences, challenges, coping, and support needs among women with mobilized partners

Abstract: Armed conflict creates profound challenges for first-time mothers navigating the early postpartum period without the presence of their partners. The abrupt loss of…

Date: 2026-07-16

Development and internal validation of an inflammation-platelet synergy score for anterior circulation cerebral infarction: an exploratory case-control study

Abstract: Inflammatory and thrombotic pathways interact in atherothrombotic stroke pathogenesis, yet combined assessment of these markers for distinguishing patients with anterior…

Date: 2026-07-16

Immune network dysregulation in rheumatoid arthritis and systemic lupus erythematosus: cytokine signatures, autoantibody profiles, and implications for precision medicine

Abstract: Rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE) are systemic autoimmune diseases characterized by chronic inflammation, immune dysregulation, and…

Date: 2026-07-16

Trends and disparities in deaths involving atherosclerotic cardiovascular disease and stroke-related conditions among U.S. adults, 1999–2025

Abstract: ASCVD and stroke remain leading causes of death in the United States, sharing overlapping risk factors and clinical consequences. Long-term declines in vascular…

Date: 2026-07-16

Identification and validation of an explainable prediction model of favorable outcome under integrative medicine treatment exposure in DKD adult patients: a retrospective cohort study

Abstract: Diabetic kidney disease (DKD) shows heterogeneous responses to integrative medicine treatment (IMT). A critical unmet need in DKD management is the inability to predict…

Date: 2026-07-16