Military Hospital

From Chronic Infection to Microbial Imbalance: Rethinking Chronic Rhinosinusitis

Chronic rhinosinusitis (CRS) has traditionally been viewed as a chronic inflammatory disease in which microbial factors are implicated. However, increasing evidence suggests that CRS may be better understood as a disruption of sinonasal microbial homeostasis rather than as a chro...

Innovative application of pressure gradient measurement in internal carotid stenosis in patients undergoing carotid artery stenting (NOTICE-CAS): study protocol for a randomized, assessor-blinded, parallel-group clinical trial

Atherosclerotic stenosis of the internal carotid artery (ICA-S) is among the significant causes of ischemic stroke. Current noninvasive imaging techniques often lack the precision to accurately determine hemodynamic significance. Although carotid artery stenting (CAS) is benefici...

Ectopic Ureter Opening in Vagina in a Dual Collecting System: Report of a Case

The ectopic ureter is a congenital anomaly characterized by an opening of the ureter outside the bladder trigone. Approximately 80% of cases are associated with a completely dual collecting system, most often involving the ureter draining the upper pole, in accordance with the We...

Association Between Self-Reported Weekly Physical Activity Duration and Echocardiographic Cardiac Structure and Function in Adults Aged ≥ 45 Years: A Cross-Sectional Study

Background: The association between habitual physical activity duration and cardiac structure and diastolic function remains incompletely characterized. Objective: To evaluate the relationship between self-reported weekly physical activity duration and echocardiographic parameter...

Vitamin D Levels and Skeletal Quality of Life in Adult Langerhans Cell Histiocytosis

Abstract Objective To prospectively evaluate the association between vitamin D optimization and quality of life (QoL) and bone metabolism in adult patients with Langerhans cell histiocytosis (LCH). Design and Methods: In this prospective, uncontrolled, observational study, 45 adu...

Moral Injury: A Systematic Review of Trauma Treatment Factors

Guilt, shame, and anger are widely recognized as core emotional features of moral injury. In the absence of a validated treatment for moral injury, understanding how patients respond to existing interventions is key. This systematic review assessed the impact of trauma treatments...

Ontology-level serum and tumor–margin lipid remodeling across colorectal cancer progression: a cross-sectional study

Colorectal cancer (CRC) progression involves extensive metabolic reprogramming, but stage-related lipid alterations across circulating and local tissue compartments remain incompletely characterized. This study aimed to map serum and paired tumor–margin ontology-level lipid signa...

Performance investigation of diesel generator set based waste heat harnessing system for space heating application

Abstract Diesel generator (DG) sets employed in decentralized power generation systems generally exhibit an electrical efficiency in the range of 30%–38%, while a considerable portion of input energy is lost as waste heat through exhaust gases and engine cooling circuits. Recover...

Public Disclaimer & Timestamped Claim

Public disclaimer and timestamped assertion of rights by the Inventor, Gregory Adamson, regarding the qMatrix artificial cognition layer. States that the technology is built and developed, that a version of this document and the build details which are copyrighted with all rights...

Women's Perceptions of Sexual Function During the Postpartum Period: Systematic Review of Qualitative Evidence

INTRODUCTION: Sexuality is a multifaceted aspect of life influenced by several dimensions, including biology, psychology, socioeconomics, and spirituality. Postpartum sexual health remains an understudied and relevant area for women. This systematic review of qualitative studies...

Differential expression of TGF-β1, TGF-β2, and TGF-β3 across WHO grades in meningioma: convergent evidence from mRNA, methylation, miRNA, and protein analysis

Meningiomas show biological heterogeneity not captured by WHO grading alone. TGF-β signaling has been implicated in meningioma pathobiology, yet a systematic, grade-stratified, isoform-resolved characterization of TGF-β1, TGF-β2, and TGF-β3 across transcriptional, epigenetic, pos...

Differential diagnostics of benign and malignant melanocytic skin tumors with the use of the artificial intelligence program «Derma onko melanoma check»

The article is dedicated to the study of the accuracy of preliminary differential diagnostics of various tumors in the melanocytic skin tissues with the use of the artificial intelligence program «Derma Onko Melanoma Check».

Beyond Diagnosis: Why Clinical Curiosity Still Matters in Psychiatry

Abstract Clinical curiosity has historically been a defining characteristic of psychiatric practice. Beyond the collection of symptoms and assignment of diagnoses, psychiatry has traditionally sought to understand patients’ subjective experiences, developmental histories, interpe...