📄 medicine

A case of six year survival with combined immunotherapy and antiangiogenesis for refractory ccRCC with brain metastasis

This case report demonstrates that a combination of immune checkpoint inhibitors and bevacizumab can achieve long-term disease control and a six-year overall survival in a patient with refractory clear cell renal cell carcinoma and brain metastasis who had previously failed multiple lines of tyrosine kinase inhibitor therapy.

Jing Zhang, Chun-Qiao Chen, Hui Huang, Zhi-Chao Yao, Xi Qin, Fei-Fei Wei2026-07-15
📄 medicine

Diaphragmatic ultrasonography in congenital myotonic dystrophy type 1 with right hemidiaphragmatic eventration: a case report

This case report presents the first documented instance of congenital myotonic dystrophy type 1 associated with right hemidiaphragmatic eventration, utilizing serial diaphragmatic ultrasonography to characterize the unique structural atrophy and functional evolution of the diaphragm in an affected neonate.

Evgenia Voudouri, Ilias Chatziioannidis, Ioannis Koutras, Angeliki Kontou, Theodora Stathopoulou, Konstantia Tsoni, Kosm (…)2026-07-15
📄 medicine

From Children to Adults? Shifting Age Patterns of Malaria in Kenya, 2008 – 2023

This study of malaria trends in Kenya from 2008 to 2023 reveals a significant shift in the disease burden toward older age groups accompanied by a decline in parasite density, highlighting the urgent need to reassess age-targeted interventions to protect the population at highest risk.

Gladys Chemwor, Benjamin Opot, Agnes C. Cheruiyot, Redemptah Yeda, Risper Maisiba, Maurine Mwalo, Jackline Juma, Raphael (…)2026-07-15
📄 medicine

faers: A High-Fidelity Framework and R/Bioconductor Package for Precision Adverse Event Surveillance

The paper introduces **faers**, an open-source R/Bioconductor package that provides a standardized, high-fidelity framework for transforming raw FAERS data into analysis-ready formats through regulatory-compliant deduplication and automated terminology mapping, thereby enabling scalable, reproducible, and precise pharmacovigilance signal detection.

Zhangyu Wang, Yun Peng, Jian-Guo Zhou, Xiaoyun Bu, Yankun Zhao, Zimo Li, Bin Yan, Yujun Sun, Chunyang Wang, Chenyang Shu (…)2026-07-15
📄 medicine

Posture Awareness Intervention for Musculoskeletal Prevention in High School Students: Effects on Body Awareness and Muscle Endurance

This quasi-experimental study involving 182 Hungarian high school students demonstrates that a 7-week school-based posture awareness intervention, featuring weekly training and daily reminders, significantly improved body awareness and back muscle endurance compared to a control group, though it did not affect abdominal muscle endurance.

Barbara Abonyi, István Ágoston Simon, József Bognár2026-07-15
📄 medicine

Nurses' Knowledge on Early Diagnosis and Screening of Colorectal Cancer: A Comparative Qualitative Study of the Cases of Türkiye and Serbia  

This comparative qualitative study of public health nurses in Türkiye and Serbia reveals distinct approaches to colorectal cancer screening, with Turkish nurses demonstrating more comprehensive patient education and risk assessment practices while Serbian nurses highlight systemic barriers and educational gaps, underscoring the need for targeted training and policy support to improve early detection rates in both countries.

Esra ÖZKAN, Katarina VOJVODIC2026-07-15
📄 medicine

Cardiovascular Burden, Place of Death, and Pregnancy Checkbox Sensitivity Among Late Maternal Deaths in the United States, 2024

This 2024 U.S. study reveals that late maternal deaths (occurring 43–365 days postpartum) are predominantly driven by cardiovascular disease and behavioral causes with significant racial disparities, often occurring outside hospitals, and are heavily reliant on pregnancy checkbox classification, which suggests a need for extended postpartum care and vital record improvements.

Prince Osei Sarpong, Raymond Suonyir, Emmanuel Ampofoh Owusu, Haley Gebhard2026-07-15
📄 medicine

Elevated serum gamma-glutamyl transferase and frailty risk: evidence from prospective cohort, metabolomic, and integrative genetic evidence

This study demonstrates through prospective cohort and integrative genetic analyses that elevated serum gamma-glutamyl transferase (GGT) levels are significantly associated with an increased risk of frailty, mediated by metabolic, immune, and vascular pathways, suggesting GGT as a promising biomarker for identifying individuals at high risk.

Youxiang Wang, Jingfeng Chen, Shifeng Sheng, Shuaiyin Chen, Suying Ding2026-07-15
📄 medicine

Association of Cumulative Exposure and Dynamic Trajectories of C-Reactive Protein-Triglyceride-Glucose Index with Incident Cardiovascular-Kidney-Metabolic Syndrome Stage 4: A Nationwide Cohort Study from CHARLS

This nationwide cohort study of Chinese middle-aged and older adults demonstrates that both higher cumulative exposure to and persistently high dynamic trajectories of the C-reactive protein-triglyceride-glucose index (CTI) are significantly associated with an increased risk of developing Cardiovascular-Kidney-Metabolic (CKM) syndrome stage 4.

Wenting Zhao, Yaoweilai Zhao, Wenxin Li, Yayi Mao, Jiaxin Li, Feiyan Li, Nan Mao2026-07-15