📄 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
📄 medicine

Sodium-Glucose Cotransporter-2 Inhibitors and Cutaneous Adverse Reactions: A Systematic Review of Clinical Phenotypes, Time-to- Onset Profiles, and Management Strategies (2020–2026)

This systematic review of 42 studies (2020–2026) characterizes the diverse spectrum of SGLT2 inhibitor-induced cutaneous adverse reactions, distinguishing between early-onset mild eruptions manageable with symptomatic treatment and delayed-onset severe immune-mediated or necrotizing conditions that require drug withdrawal and multidisciplinary intervention.

Yasser Mohammed Abdo Ali Al-Shawki, Ziryab M. Al-Shawki2026-07-15
📄 medicine

Unilateral Internal Carotid Artery Agenesis Incidentally Detected on Trauma CT Angiography: A Case Report and Diagnostic Considerations

This case report describes a 32-year-old man with congenital agenesis of the left internal carotid artery, incidentally identified on trauma CT angiography by the absence of the bony carotid canal, highlighting the critical importance of distinguishing this rare anomaly from acquired occlusion to guide clinical management and future procedural planning.

Deep Parkash, Rani Bai, AlMajd AlYazidi, Moosa Alwadi, Essem Ahmed, Ayman Albatanony, Hosam Elghadban2026-07-15
📄 medicine

Time to Maximal Response of Trastuzumab Deruxtecan in Patients with HER2-Positive Metastatic Breast Cancer: A Multicenter Retrospective Study (TRACE)

In a multicenter retrospective study of 93 patients with HER2-positive metastatic breast cancer, Trastuzumab Deruxtecan achieved maximal tumor shrinkage at a median of 4.57 months, with minimal additional tumor burden reduction observed beyond 18 weeks, suggesting that treatment duration may be optimized by considering this timeframe for induction strategies.

Yukinori Ozaki, Emi Taniguchi, Kazuki Nozawa, Yuka Niwa, Fumikata Hara, Kiyomi Nonogaki, Masahiro Kuno, Yosuke Aoyama, L (…)2026-07-15
📄 medicine

Effects of preference-based workplace active breaks on physical function, muscular strength, and pain

In a pragmatic workplace setting where workers selected their preferred intervention, an 8-week high-intensity strength active-break program yielded superior improvements in physical function and muscular strength compared to a standard stretching program, while both approaches effectively reduced pain-related outcomes.

Iñigo Perez-Garcia, Natalia Burgos Alonso, Ana Belén Fraile-Bermúdez, Idoia Zarrazquin-Arizaga, Amaya Irazusta, Lars Lou (…)2026-07-15
📄 medicine

Development and evaluation of measurement properties of the Sensorimotor Dysfunction Questionnaire for Neuromodulation (SMDQ-n)

This study developed and validated the Sensorimotor Dysfunction Questionnaire for Neuromodulation (SMDQ-n) as a reliable and accurate screening tool for characterizing sensorimotor profiles in patients eligible for non-invasive brain stimulation, demonstrating strong psychometric properties including high internal consistency, structural validity, and excellent criterion validity.

Déborah Marques, Paulo Goes, Andrea Lemos, Katia Monte-Silva2026-07-15
📄 medicine

Can a zero-shot time-series foundation model rival task-trained models for intraoperative hypotension prediction? A two-cohort benchmark and the role of covariate-awareness

This study demonstrates that zero-shot time-series foundation models, particularly TiRex-2, can rival task-trained baselines in predicting intraoperative hypotension across diverse cohorts, offering a portable alternative that maintains high accuracy without requiring site-specific training or drug-infusion covariates.

Max Haberbusch2026-07-15