📄 medicine

Factors Associated with Functional Decline After Direct Bypass Surgery for Moyamoya Disease: A Nationwide Multicenter Retrospective Cohort Study Research Article

This nationwide multicenter retrospective study of 2,011 Japanese patients found that pediatric age and anemia or postoperative transfusion were associated with short-term functional decline following direct bypass surgery for moyamoya disease, while preoperative antithrombotic therapy appeared protective.

Eiichi Baba, Fumihiro Matano, Katsuya Umeoka, Asami Kubota, Yohei Nounaka, yasuo murai2026-10-18
📄 medicine

Edematous dermatomyositis as a rare cause of isolated bilateral arm swelling in a patient with urothelial carcinoma: case report and literature review

This case report describes an 86-year-old woman with urothelial carcinoma who presented with rare edematous dermatomyositis characterized by anti-TIF1-γ antibodies and severe bilateral arm swelling, highlighting the critical need to consider this condition in the differential diagnosis of unexplained upper-limb edema and its strong association with underlying malignancy despite a fatal outcome.

Oliver Pfeifer, Werner Stenzel, Daniel Patschan2026-10-18
📄 medicine

Intraoperative Cuff–Arterial Pressure Discordance and Postoperative Creatinine Doubling: A Retrospective MOVER Cohort Study

This retrospective cohort study found that intraoperative discordance where cuff blood pressure readings remain above hypotension thresholds while invasive arterial pressure drops below them is associated with postoperative creatinine doubling, suggesting that reliance on cuff measurements alone may underestimate the risk of acute kidney injury in high-risk surgical patients.

Zitong Liu, Ziqiao Zhuang, Shuo Wang, Xiaoyun Xu, Erna Wu, Fengyuan Ma, Sihao Chen, Zhaorong Xiao, Fengzhe Che, Weiwei L (…)2026-10-18
📄 medicine

Prevalence and Risk Factors of Donor-Specific Anti-HLA Antibodies in Haploidentical Allograft Candidates: A 9698-Patient Cohort Study

This study of 9,698 haploidentical allograft candidates reveals that 9.6% are donor-specific anti-HLA antibody positive, with sensitization significantly driven by female sex, prior pregnancy, transfusion history, older age, disease duration, and specific underlying conditions like MDS and AA, underscoring the need for risk-adapted monitoring and donor selection.

Ying-Jun Chang, Ning Ma, Jingrui Zhou, Xiang-Yu Zhao, Lan-Ping Xu, Xiaohui Zhang, Yu Wang, Xiao-Dong Mo, Yu-Qian Sun, Xi (…)2026-10-18
📄 medicine

Deep learning–based classification of mesial and distal horizontal projection deviations in intraoral radiographs

This study demonstrates that a deep learning model trained on phantom data can accurately classify mesial and distal horizontal projection deviations in intraoral radiographs, outperforming human dentists and offering potential support for directional corrections during repeated imaging.

Takahiro Sakota, Masahiro Izumi, Motoe Taniguchi, Yusuke Kozai, Lee TH. Sato, Takashi Sakurai2026-10-18
📄 medicine

Clinical outcomes of inhaled Technosphere insulin in adults with type 1 diabetes: A systematic review and meta-analysis

This systematic review and meta-analysis of six randomized controlled trials involving 1,270 adults with type 1 diabetes demonstrates that inhaled Technosphere insulin provides non-inferior glycemic control and significantly reduces body weight compared to subcutaneous prandial insulin, although it is associated with a higher incidence of cough without compromising pulmonary function or causing serious adverse events.

Rachitha G, Sahana Shetty, Renuka Suvarna2026-10-18
📄 medicine

Factors Associated with Pre-Service Teachers' Willingness to Teach Opisthorchis viverrini Prevention Education in Lao PDR: A Cross-Sectional Study

This cross-sectional study of pre-service teachers in Lao PDR identifies that female gender, positive attitudes toward the benefits of teaching, supportive professional norms, and high self-confidence are key factors independently associated with a greater willingness to deliver Opisthorchis viverrini prevention education.

Souknaly Thoumma, Sachi Tomokawa, Daisuke Nonaka, Kethsana Kanyasan, Singkham Phedsouphanh, Saykham Phommathat, Takeshi (…)2026-10-18
📄 medicine

Monthly ambient benzo[a]pyrene concentrations and emergency department service use among children and adults in two Polish cities, 2018–2025: an ecological time-series study

This ecological time-series study of two Polish cities from 2018 to 2025 found no statistically significant short-term association between monthly ambient benzo[a]pyrene concentrations and all-cause emergency department visits for either children or adults after adjusting for temporal trends and population factors.

Michał Surdacki¹, Sylwia Jagła², Weronika Tomków³, Teresa Matthews-Brzozowska²2026-10-18
📄 medicine

Barriers and Facilitators to ACEs Screening in a Medicaid Serving Pediatric Clinic

This qualitative study of 40 caregivers in a California Medicaid-serving pediatric clinic identifies that while empathetic communication is valued, the primary barriers and facilitators to Adverse Childhood Experiences (ACEs) screening success lie not in the screening itself but in overcoming structural obstacles to accessing referrals and ensuring timely care coordination.

Jovita Murillo, Eric Fein, Marisol Gomez, Angelina Mandragon, Eliana Lopez-Baron2026-10-18