medicine papers | Gist.Science

Endoscopic Discectomy with Repair of Annulus Fibrosus versus Discectomy Alone for Lumbar Disc Herniation: Study protocol for a Prospective Multicenter Randomized Controlled Trial

This paper outlines the protocol for a prospective, multicenter, randomized controlled trial designed to evaluate whether adding endoscopic annular fibrosus repair to standard endoscopic discectomy reduces recurrence rates and improves clinical outcomes for patients with lumbar disc herniation compared to discectomy alone.

Panchen Zhao, Wenhao Zhao, Haixin Wei, Hao Zhang, Hao Tao, Xuexiao Ma2026-07-15

📄 medicine

Optimising cancer nutrition: A co-designed toolkit for dietitians in primary care settings

This study utilized a co-design process involving diverse stakeholders to develop and validate a practical, evidence-based online toolkit and checklist aimed at empowering primary care dietitians to deliver optimized, consistent nutrition care for cancer survivors.

Henriette G. Ryding, Elizabeth A. Johnston, Roshan R. Rigby, Rozanne Kruger, Lana J. Mitchell2026-07-15

📄 medicine

Pyometra rupture with infectious shock resulting from escherichia coli infection: a case report

This case report describes the rare and fatal progression of infectious shock caused by an Escherichia coli-induced ruptured pyometra in a 60-year-old postmenopausal woman, highlighting the critical need for early recognition and aggressive management of this life-threatening condition.

Danyan Tang, Haili Li, Ming'e Li2026-07-15

📄 medicine

When alpha-gal hides: A case series of atypical presentations of alpha-gal syndrome in children

This case series highlights four pediatric patients with atypical presentations of alpha-gal syndrome, such as respiratory distress, gastrointestinal issues, and chronic urticaria, demonstrating that the condition can be misdiagnosed without a high index of suspicion for tick-bite sensitization despite the absence of classic immediate food reactions.

Tharindi Suriapperuma, Nadisha Badanasinghe, Sachith Mettananda2026-07-15

📄 medicine

CGRP Receptor Antagonism with Rimegepant as an Acute Intervention for repeated idiopathic sudden sensorineural hearing loss : A Case Report

This case report demonstrates that a single daily dose of the CGRP receptor antagonist rimegepant effectively restored hearing and resolved symptoms in a 27-year-old woman with recurrent idiopathic sudden sensorineural hearing loss and a history of migraine, supporting the concept of cochlear migraine and the potential of CGRP-targeted therapy.

Luo Yunfan, Chen Liqing, Zhang Xiaoyan, Hao Yuelin, Diao Tongxiang, Zhang Nannan, Zhang Qingfeng, Yuan Qing2026-07-15

📄 medicine

Clinical outcomes of mobile versus in-hospital ECMO: A single-center retrospective cohort study

This single-center retrospective cohort study demonstrates that mobile ECMO (M-ECMO) is a feasible and effective strategy for critically ill patients, offering comparable survival outcomes to in-hospital ECMO while significantly reducing total hospital length of stay.

Kriti Mittal, Wendy Jin, Gregory Panza, Colleen Drake, Alessandra Basini, Riley Cable, David Yaffee, Jason Gluck2026-07-15

📄 medicine

Identifying cognitive impairment in older adults using machine learning on combined fNIRS and motion data during an upper extremity dual task function

This study demonstrates that a Support Vector Machine model utilizing combined fNIRS and motion data from an upper extremity dual-task function can effectively classify older adults with early-stage cognitive impairment, achieving 76% accuracy and a 0.86 ROC-AUC.

Kelsi Petrillo, Nima Toosizadeh2026-07-15

📄 medicine

Necrotizing Soft Tissue Infection of the Vulva in a Young Patient with Infectious Mononucleosis: A Case Report

This case report describes a rare instance of vulvar necrotizing soft tissue infection in an 18-year-old woman with acute infectious mononucleosis, emphasizing that clinicians should maintain a high index of suspicion for this life-threatening condition even in young, otherwise healthy patients.

Devneet Kaur Kainth, Joyce Varughese, Michael Kalina, Mona Saleh2026-07-15

📄 medicine

Adult-Onset Still’s Disease – Still a Diagnostic Dilemma: A Case Report

This case report describes a 31-year-old male with extreme hyperferritinemia and fever of unknown origin who was successfully diagnosed with Adult-Onset Still's Disease and treated with corticosteroids followed by Tocilizumab, underscoring the critical importance of early recognition and targeted therapy to prevent severe complications like macrophage activation syndrome.

SYED SIKANDAR SHAH, Assadullah Dahani, Aftab Alam, Hadeel Eyad Abdel latief Shalabi, Jamil Ahmed, Nour Aymn Ahmad, Marya (…)2026-07-15

📄 medicine

Rest shame among clinical nursing postgraduates: an interpretive qualitative study

This interpretive qualitative study explores the phenomenon of "rest shame" among clinical nursing postgraduates, revealing how dual-role pressures and organizational norms create psychological conflict and overwork, while recommending institutional and cultural shifts to reframe rest as compatible with professional excellence.

Xiao-Rui Fan, Jiehui Feng, Xiawei Huang2026-07-15

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