📄 medicine

A Dynamic, Intraoperative-Triggered Strategy for Early Bilateral Uterine Artery Ligation During Cesarean Myomectomy in Pregnancies with Giant Fibroids in High-Risk Locations: A Retrospective Case Series of Ten Patients

This retrospective case series of ten patients describes a dynamic, intraoperative-triggered strategy for early bilateral uterine artery ligation during cesarean myomectomy for giant fibroids in high-risk locations, which was associated with low estimated blood loss and no transfusions, though the authors emphasize the need for larger prospective studies to confirm efficacy.

Huiying Wang, Sirui Wang, Tianhao Liu, Jin Zhang2026-10-14
📄 medicine

Clinical adaptation in videoconferencing psychotherapy for bipolar I disorder: a dyadic qualitative study in a public mental health service

This dyadic qualitative study of euthymic patients with Bipolar I disorder and their therapists in a Chilean public mental health service reveals that successful videoconferencing psychotherapy relies on "relational calibration," a process where therapists flexibly adapt the structure and pacing of metacognitive therapy to address fluctuating clinical states and compensate for reduced non-verbal cues in remote settings.

Roberto Maluenda-Gatica, Javier Morán-Kneer, Ulises Ríos, Angus MacBeth2026-10-14
📄 medicine

Predictive Value of Early Postoperative Parathyroid Hormone Changes for Permanent Hypoparathyroidism After Thyroidectomy: A Retrospective Case- Control Study

This retrospective case-control study of 220 patients found that neither early postoperative day 1 parathyroid hormone (PTH) levels nor their percentage change from preoperative values could significantly predict permanent hypoparathyroidism following thyroidectomy, whereas biochemical differences between groups only became statistically significant at postoperative month 12.

AHMET BAKİ, Berkay Güzel, Özlem Özüm2026-10-14
📄 medicine

Intensive goal-directed nutritional management improves outcomes in HBV related ACLF patients: a randomized controlled trial

This randomized controlled trial demonstrates that intensive, goal-directed nutritional management significantly improves short-term transplant-free mortality, liver function, muscle performance, and quality of life in patients with HBV-related acute-on-chronic liver failure compared to standard dietary advice.

Zhipeng Li, Yeqiong Zhang, Qiumin Luo, Shengjiang Deng, Wenxiong Xu, Jia Chen, Xin Song, Xiyao Chen, Chan Xie, Liang Pen (…)2026-10-14
📄 medicine

Attempts to Reproduce Health Sciences Research Are Uncommon and May Be Declining Over Time: A Systematic Review and Meta-Analysis

This systematic review and meta-analysis reveals that attempts to reproduce health sciences research are rare (approximately 1.6% of the literature) and have significantly declined since 2016, highlighting an urgent need to increase and standardize reproducibility efforts.

Niklas Bobrovitz, Harriet Ware, Zara Stelfox, Corson Johnstone, Juliane Butterfield, Stephana J Moss, Liam Whalen-Browne (…)2026-10-14
📄 medicine

Same-wave cross-sectional risk stratification for parent-reported current anxiety among US children with ADHD who received behavioral treatment: development in the 2023 NSCH and evaluation in the 2024 NSCH

This study developed and validated parsimonious regression models using 2023 National Survey of Children's Health data to classify parent-reported current anxiety in US children with ADHD receiving behavioral treatment, demonstrating moderate discrimination and superior calibration compared to machine learning approaches when evaluated in an independent 2024 sample.

Chenglei Qin, Yi Shi, Qian Chen, Junyu Xu, Guo Chen, Mengyu Wu, Yiwei Fu, Chen Yuan2026-10-14
📄 medicine

Mobilizing private dental capacity toward equitable access: a national survey of supply-side conditions for public–private partnership in Thailand

A national survey of Thai private dental clinics reveals that while a significant latent pool of providers with spare capacity is potentially willing to join public–private partnerships for basic care, their actual participation is heavily constrained by full clinic schedules, administrative burdens, and a proposed fee schedule that often falls below market rates.

Nichamon Chaianant, Piyada Gaewkhiew, Songvuth Tuongratanaphan, Watana Thongpatsano, Pinpinut Wanichsaithong, Thanida Po (…)2026-10-14
📄 medicine

From Functional Recovery to Social Reintegration: A Patient Journey Mapping Study of Rehabilitation Needs Among Young and Middle-Aged Stroke Survivors

This qualitative study maps the dynamic evolution of rehabilitation needs among young and middle-aged Chinese stroke survivors across four recovery stages, revealing a shift from physical treatment to social reintegration and highlighting critical gaps in stage-specific support services.

Jiaqian Chen, Yuanyuan Liang, Zhijun Shu, Chuanqin Wu, Yang Hao, Shaohua Hu2026-10-14
📄 medicine

Evaluating a delegated allied health assistant-led model for procedural care for children with cancer: A non-inferiority trial design

This non-inferiority trial demonstrates that a trained Allied Health Assistant-led model for procedural care in children with cancer is non-inferior to an Occupational Therapist-led model in reducing procedural anxiety, supporting its adoption as a sustainable strategy for workforce optimization.

Emma Mitchell, Amanda Carter, William Perez, Megan Simons2026-10-14
📄 medicine

Association between VEGF gene polymorphisms and the therapeutic response to bevacizumab in Diabetic Macular Edema

This study demonstrates that the G allele of the VEGFA rs2010963 polymorphism is significantly associated with a better therapeutic response to intravitreal bevacizumab in patients with diabetic macular edema, while other tested polymorphisms showed no such correlation.

Oscar Morales-Lopez, Geovanni Jassiel Rios-Nequis, Abel Ramírez-Estudillo, Héctor Gabriel Flores-Ceballos, Pedro López-S (…)2026-10-14