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How Missing Checklists and Protocols are Costing Lives in Nepal’s ERsWhy Your Lungs May Hold the Secret to Your Stress LevelsWalking in Fear: Why Nepal’s Streets Aren't Safe and the Race to Stop a "Hidden Killer"Why Poor Living and Working Conditions are Shattering the Mental Health of Nepali WorkersSilent Suffering: Why Nepal’s Doctors and Nurses Are Not Reporting Child AbuseNew Study Highlights Metabolism Risks in Combination Antidepressant Therapy in NepalNew Study Reveals Hidden Environmental Drivers Behind Nepal’s Ongoing Cholera BattleThe Silent Pandemic: Kathmandu’s Poultry Industry Is Breeding Untreatable SuperbugsThe Silent Emergency: Domestic Violence and the Mental Health Crisis Among Nepalese WomenNepal’s Drug-Resistant TB Rates Hold Steady, but New Antibiotic Resistance Sparks ConcernHow Missing Checklists and Protocols are Costing Lives in Nepal’s ERsWhy Your Lungs May Hold the Secret to Your Stress LevelsWalking in Fear: Why Nepal’s Streets Aren't Safe and the Race to Stop a "Hidden Killer"Why Poor Living and Working Conditions are Shattering the Mental Health of Nepali WorkersSilent Suffering: Why Nepal’s Doctors and Nurses Are Not Reporting Child AbuseNew Study Highlights Metabolism Risks in Combination Antidepressant Therapy in NepalNew Study Reveals Hidden Environmental Drivers Behind Nepal’s Ongoing Cholera BattleThe Silent Pandemic: Kathmandu’s Poultry Industry Is Breeding Untreatable SuperbugsThe Silent Emergency: Domestic Violence and the Mental Health Crisis Among Nepalese WomenNepal’s Drug-Resistant TB Rates Hold Steady, but New Antibiotic Resistance Sparks Concern

clinical trials

Live updates directly from PubMed Research

Predicting the risk of venous thromboembolism events in older adults with rheumatoid arthritis after initiating targeted disease-modifying antirheumatic drugs: a comparison of the random survival forest and regularized cox regression models

CONCLUSIONS: The RSF model performed slightly better in identifying VTE in RA patients after b/tsDMARDs initiation than RegCox. Incorporating additional clinical and contextual information beyond claims data may further enhance predictive accuracy in future studies.

Ketamine Infusions and Rapid Reduction of Suicidal and Depressive Symptoms in Major Depressive Episode: A Systematic Review and Meta-Analysis

CONCLUSIONS AND RELEVANCE: The findings of this systematic review and meta-analysis suggest that single and repeated intravenous ketamine infusions are efficacious in reducing suicidal and depressive symptoms in patients with an MDE in the acute phase, while longer-term outcomes are not well established.

Genotype-Guided Antidepressant Prescribing for Patients With Depression: A Randomized Clinical Trial

CONCLUSIONS AND RELEVANCE: In this randomized clinical trial, genotype-guided prescribing of SSRIs did not improve control of depression symptoms at 3 months compared with usual care but was associated with higher depression remission rates at 6 months. These findings suggest a possible longer-term clinical benefit and indicate that future studies should focus on the durability and long-term impact of genotype-guided prescribing in the management of depressive symptoms.

Postpartum Primary Care Engagement and Acute Care Use: Secondary Analysis of a Randomized Clinical Trial

CONCLUSIONS AND RELEVANCE: In this secondary analysis of an RCT, a behavioral science-informed intervention that increased postpartum primary care engagement was associated with decreased acute care use for primary care-treatable concerns. The results suggest that supporting postpartum transitions to primary care may reduce reliance on acute care, perhaps by facilitating greater care coordination and early detection and management of chronic conditions in the primary care setting.

Persistent Vomiting Among Children With Acute Gastroenteritis: A Secondary Analysis of a Randomized Clinical Trial

CONCLUSIONS AND RELEVANCE: In this analysis of children presenting for ED care with vomiting, younger children and those unwell for 24 to 48 hours with 10 or more episodes of vomiting at presentation were more likely to have persistent vomiting after discharge. Based on these findings, these children are most likely to benefit from being provided ondansetron for home administration.

Aspirin and Preterm Birth Among Pregnant People With Increased Heat Exposure: Secondary Analysis of a Randomized Clinical Trial

CONCLUSIONS AND RELEVANCE: The findings of this secondary analysis of the Global Network ASPIRIN trial suggest that low-dose aspirin initiated early in pregnancy among nulliparous individuals may mitigate the effects of heat exposure on preterm birth. The increasing global prevalence of heat stress warrants testing its efficacy more broadly among pregnant people as well as its safety with respect to perinatal mortality.

Thirty Years of Pneumococcal Conjugate Vaccines in Children: Achievements, Challenges and Lessons From a Moving Target

CONCLUSION: Three decades after the first clinical trials, our understanding of their long-term epidemiological and immunological impact is still evolving. Future vaccine strategies must optimize the balance between expanded serotype coverage and durable immune protection at both the individual and population levels.

Sex-Based Patterns and Trends in Transcatheter Aortic Valve Implantation

CONCLUSIONS AND RELEVANCE: Among Medicare beneficiaries, women constituted a progressively declining proportion of patients treated with TAVI, experienced more periprocedural complications, and demonstrated modestly better long-term survival compared with men. Further work is needed to understand factors influencing these trends and to refine sex-specific strategies for optimal outcomes.

Extracellular vesicles in ophthalmology: innovations in diagnosis, therapy, and drug delivery

Most cells have the ability to secrete extracellular vesicles (EVs), which are nanoscale membrane-bound vesicles. EVs carry a diverse array of biomolecule, that play key roles in immunological modulation, intercellular communication, and the regulation of pathological and physiological processes. For EV-based diagnosis of ocular diseases, eye-derived biofluids serve as important sources. EVs found in these biofluids have emerged as promising biomarkers for the early detection of ocular diseases,...

Pharmacokinetics of Nirmatrelvir/Ritonavir after Multiple Administration in a Phase 1, Open-Label Study in Healthy Chinese Adults and Compared with Non-Chinese Participants

CONCLUSIONS: In healthy Chinese participants, the PK profile of nirmatrelvir 300 mg plus ritonavir 100 mg twice daily was comparable with that observed in non-Chinese participants, with an overall favorable safety profile, supporting the use of this dosing regimen for the Chinese population.

Adherence, Persistence, and Safety of Risdiplam in Spinal Muscular Atrophy: A Population-Based Cohort Study

CONCLUSIONS: In this real-world population-based cohort, risdiplam showed very high adherence, favorable short- to mid-term persistence, and a favorable safety profile, supporting the feasibility of oral therapy in both pediatric and adult patients with SMA.

Overcoming the barriers in the screening, diagnosis, and follow-up of patients with metabolic dysfunction-associated steatotic liver disease (MASLD) and metabolic dysfunction-associated steatohepatitis (MASH)

In 2024, a comprehensive framework for the screening, diagnosis, and management of metabolic dysfunction-associated steatotic liver disease (MASLD) was incorporated in the EASL-EASD-EASO clinical practice guidelines. However, physicians often face barriers applying these recommendations in routine clinical care, especially in the Southeastern Europe, Middle East, and Africa (SEEMEA) region. As a multidisciplinary group of physicians involved in MASLD and metabolic dysfunction-associated...

Recruitment of Minority Patients in Metabolic Dysfunction-Associated Steatotic Liver Disease Clinical Trials

CONCLUSION: Our results show that compared to previous efforts, clinical trials are increasingly including Hispanic patients, yet they still need to increase inclusion of ethnicity data. Since MASLD disproportionately affects Hispanic patients, it is imperative that clinical trials make a targeted effort to diversify patient recruitment.

The potential of bee products in clinical trials focused on the side effects of radiotherapy and chemotherapy used for cancer treatment

CONCLUSION: It is crucial to investigate the active mechanisms of these products further and to include them in additional clinical trials as potential cancer treatments.

Probiotic modulation of gut microbiota with Bifidobacterium animalis subsp. lactis XLTG11 and Lactobacillus plantarum CCFM8661 mitigates recurrent respiratory infections in children: a randomised-controlled trial

CONCLUSIONS: Daily administration of XLTG11 and CCFM8661 for three months is safe and improves clinical outcomes in children with RRTIs, reducing new respiratory episodes and modulating gut microbiota and immune function. These findings support strain-specific probiotics as a viable adjunctive therapy in pediatric respiratory infections.

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Blyss

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