📄 medicine

Role of REMS fracture risk prediction within the DVO-based fracture risk framework: a retrospective observational study

This retrospective observational study demonstrates that Radiofrequency Echographic Multi-Spectrometry (REMS) shows substantial agreement with the 2023 German DVO guidelines' fracture risk categories derived from DXA, validating REMS as a radiation-free, complementary tool for timely osteoporosis intervention and prevention.

A. Kurth, Julius Baron, Joachim Baron2026-10-18
📄 medicine

Acute Extensive Anterior Myocardial Infarction Complicated by Intramyocardial Dissecting Hematoma of the Interventricular Septum with Perforation: A Case Report

This case report describes a fatal outcome in a 67-year-old male who developed a rare intramyocardial dissecting hematoma with septal perforation following an acute anterior myocardial infarction, highlighting the critical need for early recognition, timely intervention, and mechanical circulatory support to manage this catastrophic complication.

Jie Chen, Shan Deng2026-10-18
📄 medicine

Long-term memory and microstructural changes after chemotherapy and low-dose radiotherapy covering the whole ventricle in patients with germinoma

This prospective study reveals that long-term survivors of germinoma treated with low-dose whole-ventricle irradiation and chemotherapy frequently experience significant memory impairment, which is associated with microstructural alterations in extensive memory-related gray and white matter regions.

Masayuki Kanamori, Shunji Mugikura, Naoko Mori, Osamu Iizuka, Yoshiteru Shimoda, Yoshinari Osada, Shota Yamashita, Ichiy (…)2026-10-18
📄 medicine

Psychometric properties of the Chinese Quick Delay Questionnaire-Parent version and its network associations with executive function in children with ADHD

This study validates the reliability and validity of the Chinese Quick Delay Questionnaire-Parent version (C-QDQ-P) and demonstrates that its two factors, delay aversion and delay discounting, serve as significant bridging mechanisms linking specific ADHD symptoms (conduct problems and inattention) to executive function deficits in children with ADHD.

Haiheng Hong, Ziyan Yu, Caili Chen, Haimei Li, Yufeng Wang, Lu Liu, Qiujin Qian2026-10-18
📄 medicine

Transdiagnostic Irritability in a Clinical Sample Aged 7–18 Years: Diagnostic Correlates, Parent– Child Perspectives, and Psychometric Properties of the Turkish Tonic and Phasic Irritability Scale (TAPIS-TR)

This study of 542 Turkish child–parent dyads demonstrates that irritability serves as a transdiagnostic marker of overall clinical burden while child and parent reports offer complementary disorder-specific insights, and validates the Turkish Tonic and Phasic Irritability Scale (TAPIS-TR) as a reliable instrument where tonic and phasic facets function best as secondary components of a general irritability factor.

Makbule Esen Öksüzoğlu, Elif Anaç, Özge Gözaçanlar Özkan, Buse Akıncı, Hilal Subaşı, Nagihan Özer, Duygu Kınay Ermiş, Eb (…)2026-10-18
📄 medicine

Tranexamic acid use in critically ill children with hemorrhage: a single-center retrospective descriptive study

This single-center retrospective study describes the usage patterns, transfusion requirements, and clinical outcomes of 44 critically ill children receiving tranexamic acid for hemorrhage in a PICU, noting a low rate of thrombotic events but emphasizing the need for prospective research to establish efficacy and safety due to the lack of a control group.

Hasan Özen, Gülçin Karaçoban, Anar Gurbanov³, Burak Balaban, Fevzi Kahveci, Hacer Uçmak⁶, Merve Havan, Hasan Fatih Çakma (…)2026-10-18
📄 medicine

Intravitreal Dexamethasone Implant versus Ranibizumab versus Ranibizumab Combined with Dexamethasone Implant for Macular Edema Secondary to Retinal Vein Occlusion

This double-blind, randomized study comparing intravitreal dexamethasone implants, ranibizumab, and their combination for retinal vein occlusion-related macular edema found that while all treatments improved visual acuity and reduced retinal thickness, the combination therapy offered sustained efficacy with fewer injections but carried a higher risk of elevated intraocular pressure and cataract progression compared to ranibizumab alone.

Yan Qi, Yuerong Wang, Xiaoli Xing, Kunkun Zheng, Hanyi Yang, Xiubin Ma2026-10-18
📄 medicine

Sliding Amyand's hernia with acute appendicitis presenting as an incarcerated inguinoscrotal hernia: a case report

This case report describes a 56-year-old man with an incarcerated inguinoscrotal hernia who was found to have a rare sliding Amyand's hernia with acute appendicitis, successfully treated with an appendicectomy and primary tissue repair, highlighting the importance of considering this diagnosis in patients with disproportionate inflammatory markers to guide operative management.

Sudesh Udayanga Dodampahala Gamage2026-10-18