📄 medicine

Flunitrazepam Disrupts Male Reproductive functions via altering the pituitary- Gonadal axis and Oxidative stress in Male Wistar Rats

This study demonstrates that chronic Flunitrazepam administration impairs male reproductive function in Wistar rats by disrupting the pituitary-gonadal axis, inducing oxidative stress, and causing histological testicular damage.

Akande Abigael Tomiwa, Akinsomisoye Olumide Stephen, Ahmed Omobolanle Suliyat, Adeogun Ezekiel Adetomiwa, Olorunmo Funmi (…)2026-10-15
📄 medicine

Effects of Preparation Height, Luting Cement Type, and Thermal Aging on the Retention Resistance of 3D-Printed Crowns in Primary Anterior Teeth: An In Vitro Study

This in vitro study demonstrates that while resin cement initially offers superior retention for 3D-printed crowns on primary anterior teeth compared to resin-modified glass ionomer cement regardless of preparation height, thermal aging significantly reduces this advantage, suggesting that cement selection is more critical than preparation height for initial retention.

Nagehan AKTAŞ, Esra KAYNAK ÖZTÜRK, Mehmet BANİ, Merve BANKOĞLU GÜNGÖR2026-10-15
📄 medicine

Spatially varying associations between patient characteristics and mortality during tuberculosis treatment in Central Java, Indonesia: a spatial survival analysis

This study utilized geographically weighted Cox regression on 52,217 tuberculosis patients in Central Java, Indonesia, to demonstrate that the associations between patient characteristics (such as HIV status, age, and comorbidities) and mortality risk vary significantly across geographic locations, suggesting that global models may overlook critical local heterogeneities in healthcare outcomes.

Miftahul Jannah, Laurentia Meylia Paramitha, Hasbi Yasin, Prajna Pramita Izati2026-10-15
📄 medicine

Malnutrition-associated reversible splenial lesion syndrome after metabolic surgery: a case report

This case report describes a rare instance of malnutrition-associated reversible splenial lesion syndrome (RESLES) in a 14-year-old female following sleeve gastrectomy, characterized by severe electrolyte disturbances and acute kidney injury that resolved completely with intensive supportive care and nutritional correction.

Yun Wen, Mianjun Hong, Yonghang He, Bo Yi, Quanlian Huang, Ruofan Ning, Weiwei Ge, Yong Wang2026-10-15
📄 medicine

Immune dysregulation in malaria, typhoid fever, and co- infection: roles of cytokine and oxidative stress profiles in a case-control study

This case-control study in Cameroon reveals that malaria and typhoid fever co-infection significantly elevates physiological stress (cortisol) and oxidative damage while depleting antioxidant defenses and altering cytokine profiles, identifying cortisol, IL-4, IL-10, and TNF-α as promising diagnostic biomarkers for distinguishing these infections among febrile patients.

Ange Maxime TCHOUTANG, MacDonald Bin Eric, Arnaud Tepa, Severin Donald Kamdem, Kameni Mary Ngongang, Ngum Lesley Ngum, W (…)2026-10-15
📄 medicine

Prospective Evaluation of Maternal Serum sFlt-1, PlGF, and the sFlt- 1/PlGF Ratio in Placenta Accreta Spectrum and Their Correlation With Placental Immunohistochemical Expression

This prospective case-control study found that while maternal serum sFlt-1, PlGF, and the sFlt-1/PlGF ratio levels differ significantly between women with placenta accreta spectrum and controls, the ratio's diagnostic utility is limited as it loses independent association with the condition after adjusting for clinical risk factors, despite showing a correlation between circulating and placental tissue PlGF expression.

Rahul Amitabh, Fouzia Siraj, Priyanka Pangtey, Sarita Singh, Ritu Singh, Abhishek Lachyan2026-10-15
📄 medicine

Benzodiazepine Receptor Antagonism: Mechanistic Roles of Flumazenil and BPC-157 in Reversing Benzodiazepine Tolerance

This narrative synthesis proposes that flumazenil and BPC-157 act on complementary mechanisms to reverse benzodiazepine tolerance by respectively restoring GABA-A receptor coupling and mitigating downstream neuroinflammatory and tissue repair deficits, warranting further controlled clinical investigation into their combined use.

Marianne Koleng, Ernesto Joubran, Sarah Alvi, Valerie J. Figueroa Thon, Bao L. Huynh, Gabby D. Mariblanca Garcia, Carlos (…)2026-10-15
📄 medicine

Cardiorespiratory arrest during the first rituximab infusion in a patient with refractory chronic inflammatory demyelinating polyradiculoneuropathy: a case report

This case report describes a fatal cardiorespiratory arrest occurring during the initial rituximab infusion in a patient with refractory chronic inflammatory demyelinating polyradiculoneuropathy, highlighting the critical need for continuous monitoring and immediate resuscitation capabilities when administering this off-label therapy.

Maria F. Velasco-Hoyos, Laura J. Carvajal-Paz, Carolina Gómez-Idrobo2026-10-15
📄 medicine

Fetal Ventricular Longitudinal Strain Does Not Predict Neonatal Hypoxemia in D-Transposition of the Great Arteries: A Prospective Multi-Center Study by the Fetal Heart Society Research Collaborative

This prospective multi-center study by the Fetal Heart Society Research Collaborative found that fetal ventricular longitudinal strain does not predict postnatal hypoxemia or the need for balloon atrial septostomy in neonates with D-transposition of the great arteries and an intact ventricular septum, underscoring the necessity of preparing for septostomy during delivery planning for all such cases.

Jacqueline Shuplock, Joyce T Johnson, David Schidlow, Mary T Donofrio, Angela McBrien, Lisa K Hornberger, Chella Palmer (…)2026-10-15
📄 medicine

Prosthetic Material Exposure After Remeex System Implantation for Female Stress Urinary Incontinence: A Retrospective Cohort Study

This retrospective cohort study of 76 women found that prosthetic material exposure occurred in 22.4% of patients following Remeex system implantation for stress urinary incontinence, with vaginal hysterectomy and contaminated preoperative urine cultures identified as significant risk factors.

Guadalupe Guerrero-Reyes, Valery Alejandra Balladares-Vado, Adrián Gutiérrez-González, Ricardo Hernández-Velázquez, Raqu (…)2026-10-15