📄 medicine

Clinical and Histologic Characteristics and Longitudinal Liver Test Changes According to GLP1R rs10305420 Genotype in Biopsy-Proven MASLD With Type 2 Diabetes

In a cohort of Japanese patients with type 2 diabetes and biopsy-proven MASLD, the GLP1R rs10305420 T-allele was associated with lower BMI and more severe liver inflammation and fibrosis, though it did not predict differential hepatic treatment responses over 12 months.

SHUNYA GOTO, Norio Akuta, Yasuka Eriksson, Shigeki Yamamoto, Yasue Takeuchi, Hitomi Sezaki, Tetsuya Hosaka, Satoshi Sait (…)2026-10-18
📄 medicine

Symptom experiences among patients with cervical cancer: a qualitative meta-synthesis

This qualitative meta-synthesis of 13 studies reveals that cervical cancer patients face complex, multidimensional symptom burdens and coping challenges, highlighting the urgent need for early symptom recognition, integrated multidimensional care, and robust multilevel support systems to improve patient-centered management.

Jiahui Mao, Xiaohui Deng, Qiuting Gu, Yanhuan Qi, Yingping Chen, Xuan Qin, Yun Chen, Xiaoting Huang, Yinqin Zhong2026-10-18
📄 medicine

Early and accurate prediction of COVID-19 hospitalization risk - methodological framework for pandemic preparedness

This study establishes a methodological framework for pandemic preparedness by demonstrating that early point-of-care biomarkers, specifically high levels of LDH or IL-6, can accurately predict COVID-19 hospitalization risk and disease severity in non-vaccinated individuals, outperforming traditional demographic factors like age and BMI.

Corinna Holetschek, Mehmet Goekkaya, Karim Dorgham, Paul Eder, Daria Luschkova, Amedeo De Tomassi, Omaira Mata-Jardin, C (…)2026-10-18
📄 medicine

Development and temporal validation of a prediction model for emergence agitation in older patients undergoing orthopedic surgery with general anesthesia: a single-center retrospective cohort study

This single-center retrospective cohort study developed and temporally validated a logistic regression model using seven clinical predictors to accurately stratify the risk of emergence agitation in older patients undergoing orthopedic surgery under general anesthesia, demonstrating strong discrimination performance that warrants further multicenter external validation.

Lizhen WU, Lei Chen, Xiaoman Huang, Dianxiu Zhang, Manli Chen, Zhihua Wang, Cejun Fu, Yingliang Wu2026-10-18
📄 medicine

Anastomosis between an extracranial C1/2-origin left posterior inferior cerebellar artery and the V4 segment of the vertebral artery diagnosed by magnetic resonance angiography

This paper reports the first MRA-diagnosed case of a congenital arterial ring formed by an anastomosis between an extracranial C1/2-origin left PICA and the V4 segment of the left vertebral artery, highlighting its potential role as a critical collateral pathway in cerebrovascular disease.

Atsumasa Toda, Akira Uchino, Yoko Usami, Shinya Kohyama2026-10-18
📄 medicine

Multimodal Circulating Myeloid Cell Analysis in Peripheral Artery Disease Reveals Neutrophil Priming and Monocyte Dysfunction

This study reveals that peripheral artery disease is characterized by systemic myeloid immune remodelling, specifically involving neutrophil priming with enhanced inflammatory cytokine production but impaired phagocytic and oxidative functions, alongside monocyte dysfunction marked by attenuated cytokine responses despite increased cell counts.

Seta Kurt, Fausto Pirronello, Rosanne D Reitsema, Sanja A Farkas, Jessica Carlsson, Marcelo Heron Petri, Hans Hjelmqvist (…)2026-10-18
📄 medicine

Artificial Intelligence in Radiology: A Qualitative Study of Clinical Decision-Making, Professional Autonomy, and Implementation Experiences

This qualitative study of 19 Turkish radiologists reveals that artificial intelligence is primarily perceived as a supportive strategic partner that enhances professional autonomy and decision-making rather than a threat to medical authority, though its successful integration requires improved AI literacy and clear legal frameworks to address liability and ethical concerns.

Beyza Yapici, Burak Tekerek, Gulsen Topaktas, Mevlut Karadag, Oguz Isik2026-10-18
📄 medicine

Preoperative Glucose-to-Albumin Ratio and Postoperative Acute Kidney Injury in Patients Admitted to the Cardiac Surgery Recovery Unit: Association Analyses and Interpretable Machine Learning Based on the MIMIC-IV Database

This study utilizing the MIMIC-IV database demonstrates that an elevated preoperative glucose-to-albumin ratio is independently and linearly associated with increased risk and severity of postoperative acute kidney injury in cardiac surgery patients, and that interpretable machine learning models incorporating this biomarker achieve excellent predictive performance.

pingping wang, Haibo Ren, qiong zhang2026-10-18
📄 medicine

Clinical Outcomes of Early- versus Late-Onset Sepsis-Associated Acute Kidney Injury in Patients with Septic Shock: A Retrospective Cohort Study

This retrospective cohort study of 203 septic shock patients found that while early-onset sepsis-associated acute kidney injury (within 48 hours) is more common and requires continuous renal replacement therapy more frequently than late-onset cases, the timing of injury does not significantly impact 28-day mortality or long-term kidney outcomes.

Mehmet Süleyman Sabaz, Esra Tekin, Burçin Doruk Oktay Alp, Ömer Faruk Şefoğlu, Dicle Kocaöz, Sena Akyıldız, Fethi Gül2026-10-18