Medicine
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Hepatocellular carcinoma (HCC) is among the most prevalent malignant tumors, but the current staging system has limited efficacy in predicting HCC prognosis. The authors sought to develop and validate a nomogram model for predicting overall survival (OS) in HCC patients primarily undergoing surgery or loco-regional therapy. Patients diagnosed with HCC from January 2017 to June 2023 were enrolled in the study. ⋯ ROC curves, calibration plots, and DCA curves all indicated satisfactory performance of the nomogram. Kaplan-Meier curve analysis showed a significant difference in prognosis between patients in the low- and high- risk groups. This nomogram provides precise survival predictions for HCC patients and helps identify individuals with varying prognostic risks, emphasizing the need for individualized follow-up and treatment plans.
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Observational Study
Whether perceived limb heaviness affects return to work among patients with ischemic stroke.
This study aims to explore the relationship between perceived limb heaviness and return to work (RTW) among ischemic stroke patients. We retrospectively reviewed the data of consecutive participants recruited in the CIRCLE study. Perceived limb heaviness was gathered from self-reported by 1-year follow-up. ⋯ Participants who had perceived limb heaviness were independently associated with a low rate of RTW compared with no perceived limb heaviness (P = .009, OR = 0.235). This research finds that participants experiencing limb heaviness might lower the rate of RTW after 12 months. The other interesting finding is that participants with 2 sons might have a higher rate of RTW.
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Observational Study
Evaluation of self-perceived halitosis and effective conditions in periodontology clinic applicants: A cross-sectional study.
Halitosis is defined as an unpleasant odor emanating from the oral cavity and has social and economic effects. Halitosis is a common complaint in individuals with periodontal disease, but limited data are available. The aim of this study is to evaluate self-reported halitosis and related conditions. ⋯ Halitosis remains one of the main issues facing people in today's world. As a result, dentists should play a bigger part in educating and alerting patients about oral malodor. There should be more public education regarding the causes of foul breath and potential treatments.
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Observational Study
Effect of migration on fertility and family planning: The case of Kayseri in Türkiye.
Many factors such as religious beliefs, cultural structure, the perspective of the host country toward refugees, and the course of the migration process can affect the family planning and fertility behaviors of refugees. This study aimed to determine the knowledge, attitudes, and behaviors of Syrian refugee pregnant women in the Kayseri province of Türkiye regarding fertility characteristics and family planning. This descriptive and cross-sectional study was conducted with 290 pregnant Syrian refugee women. ⋯ In addition, the rate of undecided respondents was high for the knowledge, attitude, and behavior items related to family planning. In conclusion, fertility behaviors should be planned by expanding family planning services. In this way, negative outcomes, especially in maternal and child health, can be prevented.
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Self-perceived health is related to outcomes such as morbidity and mortality. However, little is known about the relationship between pain severity and self-perceived health, which could be useful to know to help improve health. This study assessed the association of pain severity and other contributing factors with self-perceived health among United States adults. ⋯ In adjusted analyses, there were significant associations between fair or poor self-perceived health and any level of pain severity versus no pain, age 40 to 64 versus 18 to 39 years, male versus female, Hispanic versus non-Hispanic, high school diploma or less versus more than high school, unemployed versus employed, poor, near poor, or low versus middle or high income, fair or poor versus excellent, very good, or good mental health, exercising <5 times versus ≥5 times per week, smoker versus nonsmoker, and ≥2 versus <2 comorbid conditions. This study found that greater levels of pain severity (and several other variables) were associated with greater odds of reporting fair or poor self-perceived health. These associations provide greater insight into the variables associated with self-perceived health, which may be useful targets to improve health.