📄 medicine

Moderate-to-late preterm birth, common respiratory pathogens, and severe lower respiratory tract infections across childhood

This study demonstrates that moderate-to-late preterm birth independently increases the risk of severe lower respiratory tract infections across childhood and exhibits a significant synergistic interaction with respiratory syncytial virus (RSV) that amplifies disease severity, despite not altering susceptibility to pathogen acquisition.

Xiaole Zhang, Lin Feng, Zongming Yang, Yongjian Huang2026-07-15
📄 medicine

Pulmonary surfactant-based inhalable nanoparticles for folate receptor- targeted delivery and macrophage reprogramming in lung cancer

This study demonstrates that inhaled pemetrexed-modified pulmonary surfactant nanoparticles loaded with paclitaxel (PEM-PSNP@PTX) effectively treat lung cancer by leveraging folate receptor-mediated dual targeting of tumor cells and macrophages to suppress tumor growth and reprogram the immunosuppressive microenvironment while minimizing systemic toxicity.

Kyungsu Kim, Eun Bi Jun, Byeong Hyeon Choi, Jun Hee Lee, Chang Geun Kim, Ji-Ho Park, Hyun Koo Kim2026-07-15
📄 medicine

Procedure-Related Uptake on CXCR4 PET/CT: A Frequent Pitfall Independent of Time and Anatomical Site

This study demonstrates that [68Ga]Ga-PentixaFor PET/CT frequently exhibits procedure-related uptake at surgical or interventional sites regardless of the time elapsed since the intervention or the anatomical location, highlighting a significant pitfall that correlates with [18F]FDG accumulation and may lead to false-positive interpretations.

Sebastian E. Serfling, Yingjun Zhi, Takahiro Higuchi, Philipp E. Hartrampf, Andreas K. Buck, Rudolf A. Werner2026-07-15
📄 medicine

Information loss in evidence synthesis: a meta-research study of exercise intervention reporting in randomized controlled trials and systematic reviews

This meta-research study demonstrates that systematic reviews of exercise interventions suffer from significant information loss compared to their source randomized controlled trials, primarily due to incomplete original reporting and further attrition during the synthesis process, particularly regarding equipment, adherence, provider characteristics, and tailoring methods.

Alexandra Maria Bodnaruc, David Moher2026-07-15
📄 medicine

Impact of a Structured Transition Education Program on Knowledge and Transition Readiness Among Adolescents With Congenital Heart Disease: A Single-Center Quality Improvement Study

This single-center quality improvement study demonstrates that a structured, physician-led educational intervention significantly enhances transition readiness, disease knowledge, self-management skills, and reproductive health awareness among adolescents with congenital heart disease.

Keerthana Banala, Leonardo Morales, Nelson Claure, Satinder Sandhu2026-07-15
📄 medicine

The boundaries of biomedical result appraisal: mapping the gap between a result and its interpretation

This conceptual analysis argues that while existing biomedical appraisal tools effectively evaluate the technical soundness of study results, they fail to routinely verify whether the broader interpretations drawn from those results are actually supported by the specific comparisons the studies made, creating a critical gap between a result's validity and its application.

Ozren Polašek2026-07-15
📄 medicine

Divergent Cardiometabolic Comorbidity Patterns Between Physically Active and Inactive US Adults With Prediabetes: An Association Rule Analysis and Explainable Machine Learning Study Using NHANES 2011–2018

This study utilizing NHANES 2011–2018 data reveals that physically active US adults with prediabetes exhibit more diverse and strongly clustered cardiometabolic comorbidity patterns compared to their inactive counterparts, suggesting that physical activity fundamentally reshapes disease architecture rather than merely reducing prevalence.

Zhongwei Sun, Yongping Ma, Xinran Wu, Ping Wang2026-07-15
📄 medicine

Prognostic Association and Predictive Value of the Stress Hyperglycemia Ratio for All‑Cause Mortality in Elderly Hip Fracture Patients with Perioperative Atrial Fibrillation

This retrospective cohort study of 340 elderly hip fracture patients with perioperative atrial fibrillation reveals that the stress hyperglycemia ratio (SHR) exhibits a J-shaped nonlinear association with all-cause mortality and serves as an independent predictor that significantly enhances the prognostic accuracy of clinical models.

Qisheng Dou, Mingming Fu, Haiying Hu, Wei Li, Zhiqian Wang, Zhiyong Hou2026-07-15
📄 medicine

Multidisciplinary Management of an Preterm Infant with CMV Infection : A Case Report

This case report details the complex clinical course and successful multidisciplinary management of a preterm infant with congenital cytomegalovirus infection who presented with severe neurological, hematological, hepatobiliary, cardiac, and ophthalmological complications, underscoring the critical importance of early diagnosis, coordinated specialist care, and long-term follow-up to optimize outcomes in this vulnerable population.

Mevlane Islami Limani, Elizabeta Petkovska, Оrhideja Stomnaroska, Sanja Risteska, Gazmend Elezi2026-07-15