高强度步行训练如何促进慢性卒中步行恢复：对侧皮质-网状脊髓束变化的作用
Posted inClinical Updates Neurology Rehabilitation Medicine

Enhancing Walking Recovery in Chronic Stroke: The Role of Contralesional Cortico-Reticulospinal Tract Changes Following High-Intensity Locomotor Training

High-intensity locomotor training in chronic stroke patients induces significant strengthening and lateralization of the contralesional cortico-reticulospinal tract, correlating with improved walking capacity, elucidating new neuroplastic mechanisms underpinning stroke rehabilitation.
肺移植术中支持策略优化：限制性体外循环与基于标准的ECMO对早期神经结局的影响
Posted inClinical Updates Neurology Respiratory

Optimizing Intraoperative Support in Lung Transplantation: Impact of Restrictive CPB Versus Criteria-Based ECMO on Early Neurologic Outcomes

This study evaluates the shift from restrictive cardiopulmonary bypass (CPB) to criteria-based extracorporeal membrane oxygenation (ECMO) in lung transplantation, revealing a reduction in early major neurologic complications and ischemic strokes despite increased intraoperative blood loss and graft dysfunction.
超越BMI：DIEP皮瓣乳房重建的风险分层应关注皮下脂肪组织与吸烟史
Posted inClinical Updates OB/GYN & Women's Health Plastic Surgery

Refining Risk Stratification in DIEP Flap Breast Reconstruction: The Role of Subcutaneous Adipose Tissue and Smoking History Beyond BMI

This article reviews a prospective study identifying subcutaneous adipose tissue (SAT) and smoking history, not BMI or physical fitness, as superior predictors of postoperative complications in DIEP flap breast reconstruction, enhancing risk assessment precision.
腹部实体器官移植受者脓毒症的独特免疫谱与生存获益：一项多中心前瞻性队列研究
Posted inClinical Updates Critical Care Infectious Diseases

Distinct Immunological Profiles and Improved Survival in Sepsis among Abdominal Solid Organ Transplant Recipients: Insights from a Multicenter Prospective Cohort Study

Abdominal solid organ transplant recipients with sepsis show improved survival linked to distinctive immune and metabolic signatures, including attenuated inflammation and preserved innate immunity, providing novel insights for clinical management.
环境式AI与人工文书员对急诊医师文书负担和临床生产力的影响：最新证据综述
Posted inClinical Updates Emergency Medicine Superintelligence

Medical Scribe and Ambient Artificial Intelligence Impact on Emergency Physician Documentation Burden and Clinical Productivity: A Contemporary Evidence Review

This review synthesizes recent evidence demonstrating that both human and ambient AI scribes reduce emergency physician documentation time without diminishing clinical productivity, highlighting evolving technology adoption and future research needs.
循环死亡后器官捐献肝移植结局优化：机器保存技术的比较评估
Posted inClinical Updates Gastroenterology General Surgery

Optimizing Outcomes in Donation After Circulatory Death Liver Transplantation: A Comparative Evaluation of Machine Preservation Techniques

This study evaluates different machine preservation strategies in donation after circulatory death (DCD) liver transplantation, highlighting their impact on graft outcomes, particularly nonanastomotic biliary strictures and survival rates, with NRP and NRP+HOPE demonstrating significant benefits.