📄 medicine

Lung Scintigraphy for Suspected Pulmonary Embolism During Pregnancy: Fetal Radiation Dose and Pregnancy, Neonatal, and Childhood Outcomes

This retrospective study of 44 pregnant patients suggests that lung scintigraphy for suspected pulmonary embolism delivers a low fetal radiation dose and is associated with generally reassuring pregnancy and childhood outcomes, though definitive conclusions about long-term safety are limited by the small sample size and lack of a control group.

Evrim Sürer Budak, Gül Alkan Bülbül, Tuğçe Acar Tunç, İbrahim İnanç Mendilcioğlu2026-10-13
📄 medicine

Variability in Resting Oxygen Consumption Estimation in Adult Patients After Fontan Operation

This study demonstrates that in adult Fontan patients, resting oxygen consumption (rVO₂) varies significantly depending on the estimation method, with indirect calorimetry providing the most accurate values and predictive equations or CPET-derived estimates potentially leading to substantial errors in hemodynamic calculations like pulmonary vascular resistance.

Jure Dolenc, Aljoša Kuzmanovski, Evgen Benedik, Nejc Pavšič2026-10-13
📄 medicine

Typologies of Conflict, Migration, and Sexual Health Risk among Female Sex Workers in Ukraine Post-Russian Invasion: A Latent Class Analysis

This study utilizes latent class analysis on 2,055 female sex workers in post-invasion Ukraine to reveal that distinct migration and adversity profiles—specifically conflict-related versus personal adversity—differentially shape sexual health risks, highlighting the need for interventions tailored to individual displacement histories rather than relying solely on self-reported relocation status.

Marcela Lopez, Cho-Hee Shrader, Pavlo Smyrnov, Daniel M. Parker, Tetyana I. Vasylyeva2026-10-13
📄 medicine

Children with disabilities are left behind where schools promote physical activity: intervention-generated inequalities in a national survey of Chilean children and adolescents

A national survey of Chilean children reveals that school-based physical activity promotion measures inadvertently widen the gap between children with and without disabilities, as these initiatives primarily benefit non-disabled peers while leaving children with disabilities more inactive and sedentary.

Josivaldo Souza-Lima, Dilan Galeano-Rojas, Maribel Parra-Saldías, Claudio Farías-Valenzuela, Andrés Godoy-Cumillaf, Pedr (…)2026-10-13
📄 medicine

Age- and Sex-Dependent Bone Density Decline in the Calcar Region of the Proximal Humerus: A CT-Based Population Analysis

This CT-based study of 739 proximal humeri reveals that calcar bone density significantly declines with age and is lower in females, with elderly women showing the most severe bone loss that may compromise implant fixation in osteoporotic fractures.

Lukas F. Heilmann, Franziska Schreiber, Sarah I. Schmitz, Luis Enrique Jimenez Garcia, Bernhard Hofstätter, Darius Thies (…)2026-10-13
📄 medicine

Proactive pelvic floor health behaviors during pregnancy: A qualitative study based on the integrated theory of health behavior change

This qualitative study, grounded in the Integrated Theory of Health Behavior Change, reveals that pregnant women's proactive engagement in pelvic floor health is shaped by dynamic interactions of fragmented knowledge, self-regulatory challenges, and unstable social support, suggesting a need for personalized, empowerment-oriented interventions that integrate credible digital tools and cultural sensitivity.

Yu Bao, Si Lu, Dan Luo, Wei Ren, Ling Chen, Wenzhi Cai2026-10-13
📄 medicine

Geographic Distribution of Maternal and Neonatal Mortality and Inequalities in Obstetric Emergency Care Supply in Ecuador, 2006–2024

This ecological study of Ecuador (2006–2024) reveals that while maternal and neonatal mortality lack significant provincial-level spatial clustering due to a modifiable areal unit effect, a cantonal-level analysis uncovers critical geographic disparities where over 16% of cantons face simultaneous shortages of obstetric beds and workforce, highlighting specific infrastructure gaps distinct from workforce deployment as actionable targets for intervention.

Enrique Santiago Lanas Mendoza, Alex Wladimir Guayta Valladares, ANDRES SEBASTIAN HERDOIZA ALMEIDA2026-10-13
📄 medicine

Glycaemic Burden and Cognitive Screen-Positive Status in Younger Indian Adults with Long-Standing Type 2 Diabetes: A Cross-Sectional Study with a MoCA Cutoff Sensitivity Analysis in a Lower-Education Population

This cross-sectional study of younger Indian adults with long-standing type 2 diabetes reveals that while cognitive screen-positive status correlates continuously with higher HbA1c levels and longer disease duration, the standard MoCA cutoff of <26 is ineffective for distinguishing diabetics from controls in lower-education populations, whereas a lower cutoff of <23 successfully identifies a significantly higher prevalence of screen-positive cases in the diabetic group.

Siddharth Manish Lodha, Sumit Kumar, Shubho Acharya, Ritvik Baweja, Sandeep Garg2026-10-13
📄 medicine

Altered expression of Cx26/Cx32 of cumulus cells by β-adenoceptor drugs in women with polycystic ovary syndrome and poor response

This experimental study demonstrates that inhibiting beta-adrenergic receptors with propranolol upregulates Cx26 and Cx32 expression and reduces apoptosis in cumulus cells from women with PCOS and poor ovarian response, suggesting a novel therapeutic strategy to improve oocyte competence in assisted reproductive technologies.

Farideh Zangeneh, Mohammad Mehdi Naghizadeh, Sara Zabihzadeh, Masoumeh Dehghan, Malihe Afiat2026-10-13
📄 medicine

Food Noise, Control of Eating, and Mental Health Outcomes During Carbohydrate-Reduced Nutrition Therapy in Adults with Overweight or Obesity

This observational study demonstrates that carbohydrate-reduced nutrition therapy significantly improves food noise, eating control, and mental health outcomes in adults with overweight or obesity, with enhanced benefits observed in those also using GLP-1 receptor agonists.

Alison Zoller, Shaminie Athinarayanan, Matthew Bernstein, Rebecca Adams, Michelle Cardel2026-10-13