📄 medicine

Explainable Artificial Intelligence in Radiological Imaging: Bridging Computational Explanations and Radiological Reasoning

This paper identifies a critical gap between computational XAI outputs and radiological reasoning in medical imaging, proposing the six-layer Explainability–Radiology AI Integration (XRAI) framework to bridge this divide by aligning technical explanations with clinical context, workflow, and governance.

Kaneeka Vidanage, K. L.Y.S. Karandana, Bahasuru Nayanakantha, Smita Nirkhi, Sabyasachi Bhattacharyya2026-10-22
📄 medicine

Left Atrial Ridge Edema After VARIPULSE pulsed field ablation: Correlation With Early Peri-device leak

This single-center retrospective study demonstrates that the combined VARIPULSE pulsed field ablation and left atrial appendage occlusion procedure is a safe and feasible "one-stop" strategy with high implant success and no early peri-device leaks, while also revealing a significant, transient increase in left atrial ridge thickness immediately following ablation.

ke Li, Rui wang, Jia Qi Jin, Mingyu Wang, Qiuxia Duan, Ying Zhang, zongjun Liu2026-10-22
📄 medicine

Socioeconomic, Lifestyle, and Dietary Factors Associated with Concurrent Hypertension and Diabetes among Adults in Selected Communities in Southwestern Nigeria: A Cross- Sectional Study

This cross-sectional study in Southwestern Nigeria found that 14.8% of adults with hypertension or diabetes had both conditions, with higher income showing a consistent but statistically non-significant positive association after multiple-testing correction, highlighting the need for integrated screening and further confirmatory research.

Adeyemi-Benson, Oluwateniola A. Adeyemi-Benson, Peter Olaniyi, Anifat O. Oladele, Folajimi T. Jolayemi2026-10-22
📄 medicine

Very long-term outcomes of unilateral versus bilateral pedicle screw fixation with more than 10 years of follow-up

This study demonstrates that beyond 10 years of follow-up, unilateral pedicle screw fixation for single-level TLIF yields comparable long-term clinical outcomes, fusion rates, and reoperation risks to bilateral fixation, while being associated with a lower incidence of cranial adjacent segment degeneration.

Xiaoyu Zhou, Erfu Dong, Wenting Zha, Yijie Kong, Xiaoduo Xu, Xin Chen, Ziming Li, Lei Wang, Jingming Wang, Weimin Huang2026-10-22
📄 medicine

Professional nursing practice environments as interconnected systems: A scoping review of measurement instruments

This scoping review of 85 publications identifies 14 measurement instruments and synthesizes their constituent elements into a new conceptual model portraying professional nursing practice environments as dynamic, interdependent systems comprising three core domains: Leadership, Organisational Culture and Climate, and High-Quality Practice.

Frances Calleja¹˒², Amanda Henderson¹˒³, Tracy Flenady¹2026-10-22
📄 medicine

Gastric Bypass Using a Surgical Robot with Table-Mounted Arms: First-in-Human Clinical Trial Results with the OTTAVA Robotic Surgical System

This first-in-human clinical trial demonstrated that the OTTAVA Robotic Surgical System with table-mounted arms is safe and effective for performing Roux-en-Y gastric bypass, as all 30 procedures were completed robotically without conversion and met predefined safety and performance goals.

Erik B. Wilson, Andre F. Teixeira, Ranjan Sudan, Collin E.M. Brathwaite, Christopher DuCoin, Yaacov Davidow, Oscar O. Ol (…)2026-10-22
📄 medicine

Exhaustion and Wear-and-Tear as Distinct Components of Operational Fatigue: A Double-Blind, Placebo-Controlled Trial of L-Tyrosine Supplementation

This double-blind, placebo-controlled trial on 116 French military personnel demonstrates that L-tyrosine supplementation specifically alleviates the exhaustion component of operational fatigue by modulating catecholaminergic pathways and BDNF levels, while the distinct wear-and-tear component remains unaffected by supplementation and is instead linked to serotonergic dysregulation.

Laurie NIOLAT, Aurélie SERVONNET, Christine Le COZ, eloise galut, mathieu gustave, Cyril LINARD, Céline DALLE, Céline RA (…)2026-10-22
📄 medicine

Reynolds Syndrome: A Rare Autoimmune Overlap Syndrome — A Case Series and Literature Review

This paper presents a case series and literature review of Reynolds syndrome, a rare overlap of systemic sclerosis and primary biliary cholangitis, highlighting its clinical features, shared autoimmune mechanisms, the importance of cross-screening for early detection, and the potential for favorable liver outcomes with targeted immunosuppressive therapy.

Hajar FADILI, Loubna HAMAM, Lina ACHOUR, Abire ALLAOUI, Jihane SMAALI, Fatima BELABBES, Fadwa OUSTI, Malak SNOUSSI, Abde (…)2026-10-22