Frequency and demographic variability of the corona mortis: Insights from computed tomography angiography.

Shape features of white matter tracts associated with post-surgical speech production outcomes.

Anterior cruciate ligament reconstruction using peroneus longus with lateral extra-articular tenodesis has excellent functional outcomes with a high return to sport rate: A prospective cohort study of 482 patients over 2years.

Introduction: Schizophrenia is a complex mental health disorder characterised by variable treatment responses. Previous research has explored factors influencing patient experiences; however, the understanding of how modifiable and non-modifiable factors relate to treatment effectiveness remains limited and, at times, inconsistent. Aim: To explore how the sociodemographic and clinical factors influence illness severity, treatment outcomes, and functional adjustment in work and social domains in patients with Schizophrenia. Materials and Methods: The present cross-sectional observational study was conducted at Sree Balaji Medical College and Hospital, Chennai, India, from July 2022 to July 2023, on 74 schizophrenia patients with at least six months of follow-up. The study assessed sociodemographic factors, treatment adherence, and illness severity in relation to therapeutic outcomes and social adaptation. Data were analysed using Epi Info software version 7, applying Mann-Whitney, Chi-square, and Wilcoxon signed-rank tests, with a significance level set at p <0.05. Results: The current study included individuals diagnosed with schizophrenia spectrum disorders (mean age: 36.1 years), with balanced gender distribution. Most participants were unemployed (71.6%) and married (59.5%). A significant reduction in illness severity was observed post-intervention (p <0.001). Demographic variables such as age, sex, and marital status showed no significant differences; however, marked and severe illness was associated with lower treatment efficacy (p<0.001) and poor resilience (p=0.001). Treatment response assessed via effectiveness index and global improvement categories. Treatment effectiveness was significantly associated with factors such as employment status (p=0.028), illness severity (p<0.001), age of illness onset (p=0.021), Higher Mental Function (HMF) (p=0.002), insight (p=0.007), resilience (p=0.019), and antipsychotic dose (p=0.041). Global improvement was significantly associated with factors such as employment status (p=0.012), illness severity (p<0.001), age of illness onset (p=0.035), HMF (p=0.003), insight (p=0.037), resilience (p<0.001), and treatment adherence (p=0.023). Individuals with milder illness, better insight, preserved HMF, higher resilience scores, and active treatment adherence showed more favourable outcomes. Functional impairment was significantly greater among those with inadequate treatment response and higher illness severity, particularly affecting work, home management, leisure, and interpersonal relationships (p<0.001). Despite overall improvement, a subset of patients continued to experience residual functional limitations, highlighting the link between treatment effectiveness and real-world functioning. Conclusion: According to the present study results, higher resilience, good insight, employment and strong family support are the key factors associated with better outcomes. The study also supports the role of early intervention, sustained treatment engagement and a recovery oriented approach for better clinical and psychosocial care.

Fertility desires and outcomes in patients with selected hereditary cancer syndromes.

Assessing postgraduate students' awareness and usage of electronic library services: A case study of selected universities in Ghana

Links between adverse, benevolent childhood experiences and adult mental health in Chile

Exploring the knowledge and practice of calcium channel blocker overdose management among South African Emergency Medicine doctors.

Plantar pressure distribution is a widely used biomechanical measure for characterizing foot-ground loading during gait in research and clinical assessment. Demographic variables, such as sex, age, and body weight, influence plantar loading patterns; however, findings across studies have been inconsistent, limiting direct clinical interpretation. A systematic review and meta-analysis were conducted in accordance with PRISMA guidelines. PubMed, Science Direct, and Scopus were searched for studies published between 2013 and 2025 that investigated the relationship between plantar pressure and sex, age, or body weight in healthy, asymptomatic individuals. Eligible studies were screened, data were extracted, and subgroup analyses were performed to assess pressure differences across specific foot regions. Protocol registered in PROSPERO (https://www.crd.york.ac.uk/PROSPERO/view/CRD420251083389). Sex-specific differences revealed that women exhibited higher plantar pressure in the hallux, whereas men demonstrated greater loading in the heel and lateral heel regions. In older adults, a posterior-to-anterior shift in pressure was observed, with decreased heel loading and increased pressure in the forefoot, midfoot, and fifth metatarsal. Obesity was associated with significantly elevated plantar pressure in the first, fourth, and fifth metatarsals as well as in the heel, midfoot, and forefoot, whereas hallux pressure was relatively reduced compared to individuals of normal weight. Across all subgroup analyses, six foot regions, namely, the hallux, first, fourth, and fifth metatarsals, midfoot, and total heel consistently showed moderate to strong effect sizes. This study summarizes population-specific plantar pressure patterns associated with sex, age, and body weight. The hallux, selected metatarsals, midfoot, and heel consistently demonstrated pooled differences across studies and are highlighted as regions of interest for future research. These findings provide descriptive biomechanical reference patterns that may support hypothesis-driven investigations into plantar load redistribution and comfort-related outcomes. These findings should therefore be interpreted as providing comparative biomechanical context rather than direct clinical decision-making criteria.

Identifying predictors of success on the Physician Assistant National Certifying Examination (PANCE) is critical for physician assistant (PA) programs aiming to improve student outcomes. While preadmission metrics are often emphasized, the influence of academic performance during the PA program remains a focus of ongoing investigation. This study examines the relative contributions of preadmission variables, selected demographic factors, and didactic and clinical academic performance in predicting PANCE outcomes. This is a retrospective cohort study of 3 cohorts of PA students (2022-2024), assessing preadmission metrics and performance during the didactic phase and clinical year for associations with PANCE scores using linear regression, Mann-Whitney U, and Kruskal-Wallis tests, with significance set at P < .05. No statistically significant associations were observed between PANCE scores and preadmission factors, including prematriculation course grades, undergraduate cumulative and science GPAs, patient care hours, or demographic variables such as gender, age, and geographic background. In contrast, didactic and clinical year GPAs, as well as performance on summative I and II exams and the end of curriculum exams, were all strongly and positively correlated with PANCE outcomes ( P < .0001). The findings suggest that both the didactic and clinical phases, along with summative assessments, are the strongest predictors of first-time PANCE success. These results underscore the importance of a rigorous curriculum and comprehensive internal assessments to prepare students for certification. Ongoing academic monitoring helps PA programs proactively identify and support students at risk of underperformance on the PANCE.

Assessment of pneumococcal and hepatitis B vaccination coverage in people living with HIV: Adherence to GeSIDA quality indicators.

Capturing subjectivity: A weighted ensemble approach to preserve annotator diversity

Mediating roles of psychological empowerment and self-efficacy in the relationship between leadership and clinical decision-making among nursing students: A path-analysis approach.

Maxillofacial surgery frequently faces the permanent and catastrophic impacts of firearm injuries, an alarming scenario due to rising mortality and morbidity rates, representing both global and individual losses. The main objective of this study was to outline and synthesize the epidemiological profile and trends in the global incidence of firearm-related maxillofacial injuries. A scoping systematic review was conducted, including observational studies, case series, and case reports published up to September 2025, retrieved from PubMed and Google Scholar, using the combination of the terms "maxillofacial injuries," "gunshot wounds," "firearms," "ballistic injuries," and "epidemiology." A total of 29 articles and mortality data from the World Health Organization (WHO) database were included. There were certain limitations in the global analysis of firearm-related mortality rates due to the scarcity of information. The average death rate from violence was higher in American countries compared to countries at war (p<0.01), and it was not possible to establish significant correlations between firearm mortality and most demographic variables. A moderate negative correlation was observed between GDP and mortality rates in war contexts (ρ=-0.55, p<0.05). Greater transparency in national reporting is necessary to establish a more robust global epidemiological profile. Conversely, the negative impact of wars on national economies and violence in American countries is evident, and strict firearm access, control, and distribution laws are one potential strategy to combat this growing epidemic.

Waste-to-Energy (WtE) is increasingly recognized globally as a pivotal strategy for reducing dependence on landfills and facilitating the transition to renewable energy. However, public acceptance of WtE remains a significant challenge, particularly in rapidly urbanizing regions of the Global South. Although extensive international research has explored the technological and environmental aspects of WtE, a notable research gap persists regarding the interplay of operational performance, implementation processes, strategic outcomes, and socio-behavioral factors in shaping public acceptance in emerging markets. This underscores both the relevance and originality of the present study. To address this gap, this research investigates the determinants of willingness to accept (WTA) WtE policies by examining three primary factors: Factor 1: WtE Operational Effectiveness, Factor 2: WtE Implementation Support, and Factor 3: WtE Strategic Impact. These factors are analyzed in conjunction with demographic variables (age and educational attainment) and attitudinal cluster segmentation derived from K-means clustering, which categorizes respondents into all-encompassing supporters, skeptical opponents, and practical implementers. Utilizing 400 household survey responses from Batam City, Indonesia, the data were analyzed through exploratory factor analysis, cluster analysis, and binomial logistic regression. The findings indicate that implementation support is the strongest predictor of acceptance, followed by strategic impact and operational effectiveness. Additionally, older and more educated respondents exhibit higher levels of acceptance, while cluster membership reveals significant heterogeneity in community attitudes. By integrating behavioral segmentation with empirical modeling, this study contributes novel evidence regarding the social and governance determinants of WtE acceptance within a developing-country context. It addresses a critical gap in the global WtE acceptance literature and offers actionable guidance for the formulation of socially inclusive policies that promote renewable energy transition, green innovation, and sustainable development.

Development and internal validation of machine learning in predicting prognosis of acute kidney injury patients in resource-limited setting.

Impact of cranial irradiation on the clinical presentation of cerebral cavernous malformations.

Steroid/thyroid hormones and inflammatory markers in adolescents with ADHD: comparisons with healthy controls and modifications by methylphenidate.

Toxoplasma Gondii IGG seroprevalence among individuals living with HIV: An 18-year single-center retrospective evaluation.

Impact of Pre-ICU benzodiazepine and Z-Drug exposure on mortality in critically ill Adults: A nationwide retrospective cohort study: A nationwide retrospective cohort study.