42,492 papers found

OBJECTIVE: This scoping review aims to evaluate recent studies that examine the relationship between dyspareunia and neurophysiologic factors, and to synthesize their results as it pertains to the development and treatment of introital/vulvar dyspareunia and deep dyspareunia DATA SOURCES: A comprehensive search was con…

The effect of peptide toxins on voltage-gated ion channels can be reliably assessed using electrophysiological assays, such as the patch-clamp technique. However, much of the toxinological research done in Central and South America aims at purifying and characterizing biochemical properties of the toxins of vegetal or…

INTRODUCTION: Since Lars Leksell developed the first stereotactic radiosurgery (SRS) device in 1951, there has been growth in the technologies available and clinical indications for SRS. This expansion has been reflected in the medical literature, which is built upon key articles and institutions that have significantl…

Extraneural metastasis (ENM) of primary central nervous system (CNS) tumors is an uncommon occurrence. Case reports and case series describe ENM after shunting, but this phenomenon has not been well characterized. In this review we aim to better understand the risk factors and clinical implications of ENM associated wi…

OBJECTIVE: Spinal dural arteriovenous fistulas (DAVFs) are insidious pathologies that, if left untreated, harbor potentially devastating consequences to the central nervous system. Spinal DAVFs are rare in the adult population and exceedingly uncommon in the pediatric population. In this report, we describe a spinal DA…

This systematic review aims to update current evidence on the efficacy and safety of photodynamic therapy (PDT) and anti-vascular endothelial growth factor (anti-VEGF) injections for acute central serous chorioretinopathy (CSC). A comprehensive literature search was conducted in PubMed, EMBASE, and Cochrane Library. St…

BACKGROUND: Noninvasive hemoglobin (Hb) monitoring devices are available in the clinical setting, but their accuracy and precision against central laboratory Hb measurements have not been evaluated in a systematic review and meta-analysis. METHODS: We conducted a comprehensive search of the literature (2005 to August…

INTRODUCTION: The metabotropic glutamate receptor type 4 (mGluR4) plays a pivotal role in a plethora of therapeutic areas, as recently demonstrated in preclinical validation studies with several chemical classes of compounds in rodent models of central nervous system (CNS) and peripheral disorders. Activation of mGluR4…

BACKGROUND: The use of antimicrobial-impregnated central venous catheters (CVCs) for the prevention of CVC microbial colonization and catheter-related bloodstream infection (CRBSI) remains controversial. METHODS: We performed a meta-analysis of randomized controlled trials (RCTs) evaluating CRBSI and colonization of C…

OBJECTIVE: This study aimed to assess the effectiveness of 12 interventions for postherpetic neuralgia (PHN) through direct and indirect comparisons using a network meta-analysis. These interventions included pulsed radiofrequency (PRF), high-voltage pulsed radiofrequency (HPRF), Long-Term PRF (LPRF), selective nerve b…

OBJECTIVES: Primary: To evaluate the diagnostic accuracy of point-of-care ultrasound for the identification of elbow fractures in pediatric patients. METHODS: We searched MEDLINE, PubMed, CINAHL, and Cochrane Central Register of Controlled Trials (CENTRAL) up until December 1, 2025 for studies involving pediatric pati…

To assess available evidence on the association between anxiety and caffeine consumption in healthy individuals. A high-sensitivity electronic search was performed, as recommended by the Cochrane Handbook, which underwent peer review according to the PRESS Guide, in March 2021 in the following databases: Cochrane Libra…

PURPOSE: The objective of this study was to systematically review the effectiveness of thoracic-focused interventions, including breathing exercises and thoracic manual techniques (mobilization, high-velocity low-amplitude manipulation, and release techniques), on pain and disability in patients with low back pain (LBP…

Research on female subjects in sports science remains insufficient, particularly regarding how plyometric training affects adult female athletes' jumping, sprinting, and change-of-direction (COD) performance. This gap has prevented definitive conclusions about the magnitude and characteristics of such performance effec…

Microneedling, a minimally invasive dermatologic procedure, has expanded beyond cosmetic use to treat conditions such as vitiligo, hyperhidrosis, melasma, acne vulgaris, and actinic keratoses. This systematic review, conducted in accordance with PRISMA guidelines, included 15 randomized controlled trials involving appr…

This systematic review evaluates the impact of intraoperative imaging on surgical outcomes in combined neurosurgical and reconstructive procedures. A comprehensive literature search was conducted across four databases, including PubMed, Scopus, Web of Science, and the Cochrane Central Register of Controlled Trials (CEN…

Screen time, defined as the amount of time spent engaging with electronic screens, has become inevitable in modern life. The rise in screen time among children under 5 years old has raised concerns about its association with motor development including gross and fine motor skills. Conflicting evidence on the assoc…

BACKGROUND: Survivors of critical illness have an increased risk of psychological disorders such as posttraumatic stress disorder (PTSD), anxiety disorders or depression. A possible preventive intervention is an intensive care diary. The effect of intensive care diaries on the prevention of these psychosocial disorders…

OBJECTIVE: To better understand the relationship between traumatic brain injury (TBI) and obstructive sleep apnea (OSA). DATA SOURCES: PubMed, Web of Science, Embase, and Cochrane Central Register of Controlled Trials (CENTRAL) were searched in May 2025 for studies reporting sleep-apnea data from sleep studies in a tr…

Anticoagulant therapy plays a pivotal role in preventing stroke and thromboembolic complications in elderly patients with atrial fibrillation, a population at increased risk for both ischemic and bleeding events. This systematic review evaluates the comparative efficacy and safety of direct oral anticoagulants (DOACs)…