Urinary Retention as an Initial Clinical Manifestation of Primary Sjögren's Syndrome.

Primary Sjögren's syndrome (pSS) is a systemic autoimmune disease known to affect exocrine glands, leading to symptoms such as dry eyes and mouth. However, pSS can manifest in other systems, including rare genitourinary presentations. Urinary retention, although unusual, has been associated with pSS throughout the disease, particularly when related to neurogenic bladder dysfunction.

Material needs security and mental health outcomes in adults with type 2 Diabetes in Lebanon: A cross-sectional study.

Objectives: Despite their documented significance in type 2 diabetes (T2DM) management, social determinants of health (SDOHs) including material needs security and mental health outcomes are understudied in the Middle East and North Africa (MENA) region. This study aims to assess the relation between material needs security and mental health outcomes in Lebanese adults with T2DM.

Methods: Subjects with T2DM ( = 300) were recruited from primary health care centers in Lebanon.

Thickness Speed Progression Index: Machine Learning Approach for Keratoconus Detection.

Purpose: To develop and validate a pachymetry-based machine learning (ML) index for differentiating keratoconus, keratoconus suspect, and normal corneas.

Design: Development and validation of an ML diagnostic algorithm.

Methods: This retrospective study included 349 eyes of 349 patients with normal, frank keratoconus (KC), and KC suspect (KCS) corneas.

Refractive amblyogenic risk factors in private and public school children.

: To assess refractive amblyopia risk factors in Lebanese children aged 3 to 6 years through school-based automated vision screenings, comparing outcomes between public and private schools. : A school-based vision screening was conducted across multiple regions in Lebanon, including 990 children aged 3 to 6 years from both public and private schools. Trained personnel utilized the Plusoptix S12 photoscreener for vision screening.

Validity and Reliability of the Transcultural Arabic Adaptation of the Food-Mood Questionnaire Among College Students.

A culturally adapted screening tool for mental health and dietary quality is needed to address the significant challenges in mental health and suboptimal diets among college students. The purpose of this study was to validate the Food-Mood Questionnaire (FMQ), originally developed in English, among Arab college students. Students attending the University of Sharjah were invited to complete the questionnaire ( = 224).

An Atypical Case of Pancreatic Cancer with Mesenchymal Differentiation in a Patient with Primary Lung Adenocarcinoma: Insights into Tumor Biology and Novel Therapeutic Pathways.

: Pancreatic cancer is among the malignancies with the poorest prognosis, largely due to its aggressive nature and resistance to conventional therapies. : This report describes the case of a 69-year-old male patient with stage IV primary lung adenocarcinoma presenting with high levels of programmed death-ligand 1 (PD-L1). Simultaneously, abdominal computed tomography (CT) showed a dilated pancreatic duct at the level of the pancreatic head and a hypodense lesion in the uncinate process involving the superior mesenteric artery.

Effect of Socioeconomic and Patient-Related Factors on Abidance and Adherence to Voice Therapy in Lebanese Patients With Voice Disorders.

Objective: To examine the rate of abidance and adherence to voice therapy (VT) in a group of Lebanese patients with voice disorders, and to analyze the correlation between the rate of abidance, adherence, and socioeconomic factors in addition to patient- and disease-related factors.

Study Design: Retrospective chart review.

Methods: The medical records of patients with voice disorders who presented to the voice unit in a tertiary referral center between January 2022 and December 2023 were reviewed.

Guidance for engagement in health guideline development: A scoping review.

Background: Health guideline developers engage with interested people and groups to ensure that guidelines and their recommendations are relevant and useful to those who will be affected by them. These 'interest-holders' include patients, payers/purchasers of health services, payers of health research, peer review editors, product makers, programme managers, policymakers, providers, principal investigators, and the public. The Guidelines International Network (GIN) and McMaster University Guideline Development Checklist describes 146 steps of the guideline process organized into 18 topics.

Obesity, aldosterone excess, and mineralocorticoid receptor activation: Parallel or intersected circumstances?

The obesity pandemic, with its associated comorbidities of hypertension and diabetes, constitutes a global public health issue. Importantly, there is an increasing prevalence of aldosterone excess related to obesity and resultant poor health outcomes. Nevertheless, the association between aldosterone and obesity still needs to be clarified.

Correction: Strategies to Overcome Erroneous Outcomes in Reverse Transcription-Polymerase Chain Reaction (RT-PCR) Testing: Insights From the COVID-19 Pandemic.

[This corrects the article DOI: 10.7759/cureus.72954.

The implementation process of decentralization of health services: a qualitative perspective from Sudan.

Background: Health system reform initiatives have increasingly embraced decentralization as a key trend. The implementation process and its outcomes are influenced by a myriad of factors, including economic forces, political dynamics, and ideological factors. Comprehending and carefully examining the implementation phase of decentralization and its consequences to achieve desired outcomes is crucial.