📄 medicine

Non-surgical management of first-time patellar dislocation: A scoping review

This scoping review of 60 articles concludes that while non-surgical management of first-time patellar dislocation should prioritize exercise rehabilitation and avoid complete immobilization, optimal outcomes depend heavily on individual patient characteristics like age and anatomy, necessitating future research to align treatment strategies with specific risk profiles.

Rowan Pickering, Wayne Hing, Kyle Mitchell, Darryn Marks2026-07-21
📄 medicine

Latent Profiles of Mental Health Literacy and Associated Factors Among Older Adults With Cataracts

This cross-sectional study of 209 hospitalized older adults with cataracts identified three distinct mental health literacy profiles and determined that diagnosis duration, anxiety levels, living arrangements, and primary caregivers are key factors associated with these profiles, suggesting that targeted, profile-based interventions could improve psychological support for this population.

Xiaoyan Tang, Xiaoyan Li, Jiaojiao Li, Liwen Long2026-07-21
📄 medicine

Longitudinal immune profiling of Long COVID phenotypes reveals a shared persistent IL-17F-centered immune signature

This longitudinal study of 355 individuals reveals that despite clinical heterogeneity, most Long COVID phenotypes share a convergent immune signature characterized by persistent IL-17F upregulation and dysregulated vascular repair, offering a framework for identifying maladaptive immune-remodelling pathways as therapeutic targets.

Samir Kumar-Singh, An Hotterbeekx, Carolina Alvarez-Garavito, Lorenzo Canziani, Samuel Lebourgeois, Lenny Coppens, Elisa (…)2026-07-21
📄 medicine

Rethinking Primary–Palliative Care Collaboration: Insights from a Mixed-Methods Study in a Spanish Region

This mixed-methods study in the Basque Country reveals that while most primary care professionals value collaboration with specialist palliative teams and view themselves as providers of primary palliative care, they face significant barriers such as workforce challenges and training gaps, highlighting the need for optimized models that balance shared responsibility with clear support structures.

Alberto Meléndez, Sheila Sánchez, María Jesús Serna, Nerea González, Javier Urraca, José Luis Pereira2026-07-21
📄 medicine

The Role of Laparoscopy in Acute Small Bowel Obstruction: How to Decrease the Conversion Rate?

This retrospective study of 153 patients demonstrates that laparoscopy is a feasible and safe treatment for acute small bowel obstruction in carefully selected patients, with conversion rates significantly reduced to under 10% through expanded inclusion criteria, the use of laparoscopic-assisted techniques, and meticulous surgical handling by experienced surgeons.

Nagm Eldin Abu Elnga, Ahmed M. Gamal, Mohie El-Din Mostafa Madany, Ahmed Soliman2026-07-21
📄 medicine

PUMA-Net for Predicting Adverse Pregnancy Outcomes From First- and Second-Trimester Placental Ultrasound and Prepregnancy Body Mass Index: A Multicenter Study

This multicenter study demonstrates that PUMA-Net, a deep learning model analyzing first- and second-trimester placental ultrasound images combined with prepregnancy BMI, effectively predicts adverse pregnancy outcomes with high accuracy across internal and external validation cohorts.

Huien Zhou, Jingwen He, Cuiyan Lin, Xue Xiao, Chen Chen, Xiaoyan Ling, Longhua Wang, Wanming Chen, Xinmin Guo2026-07-21
📄 medicine

Complementary Value of Contrast-Enhanced Ultrasound in Adnexal Masses With Inconclusive IOTA Simple Rules

This study demonstrates that contrast-enhanced ultrasound (CEUS) features, specifically the absence of a microcystic pattern, intact capsular continuity, and hypoenhancement, significantly improve the diagnostic accuracy of distinguishing benign, borderline, and malignant adnexal masses that remain indeterminate under the IOTA simple rules.

Ru-Yu Yan, Xing-pan Niu, Hong Xu, Xiao-yu Fu2026-07-21
📄 medicine

Safety and Immunogenicity of Recombinant Zoster Vaccine (LZ901) in Chinese Adults Aged 50-70 Years: A Double-Blind Phase 2 Randomised Clinical Trial

This double-blind, randomized phase 2 trial demonstrated that the recombinant zoster vaccine candidate LZ901 is safe and immunogenic in Chinese adults aged 50–70 years, with the 100 μg dose eliciting superior antibody responses and supporting its further evaluation in a phase 3 trial.

Yeqing Tong, Xinyan Liu, Kangwei Xu, Heng Shen, Yidan Yuan, Kui Ma, Shuhan Zhang, Zhao Wang, Wenhao Lv, Xianming Jiang (…)2026-07-21
📄 medicine

Epidemiological characteristics and intervention-associated transmission dynamics of the largest chikungunya fever outbreak in China

This study characterizes China's largest chikungunya outbreak in Foshan, identifying high transmissibility concentrated in Shunde District with elevated risks for females and older adults, while demonstrating that vector control measures effectively reduced the reproduction number and highlighting the critical role of border-area surveillance in managing arboviral threats.

Meng Zhang, Yunkang Zhao, Xiqing Huang, Yihong Li, Siyang Jiang, Liling Lin, Xiaohua Tan, Aiping Deng, Mingji Cheng, Jin (…)2026-07-21
📄 medicine

Construction and Validation of a Risk Assessment Model for Colorectal Adenoma Based on LASSO Regression

This study developed and validated a clinically useful risk assessment model for colorectal adenoma using LASSO and multivariable logistic regression on 883 patients, identifying key predictors such as age, gender, and medical history to facilitate early detection and personalized prevention strategies.

Xinlei Wang, Mingjie Tian, Jiajia Zhang, Xiaoming Li, Renxuan Gao, Liwei Jing, Jing Gao, Junjing Wang, Zhiting Li, Chao (…)2026-07-21