📄 medicine

Sleep Quality Among Women with Endometriosis in Bangladesh: A Hospital- Based Cross-Sectional Study

This hospital-based cross-sectional study conducted in Bangladesh reveals that poor sleep quality is highly prevalent among women with endometriosis and is significantly associated with pain-related symptoms such as dyspareunia, dysmenorrhea, and pelvic pain, highlighting the need for routine sleep assessments in clinical management.

Muhammad Muztoba, Afsana Afrose, Mubashira Marzan, Munima Haque2026-10-12
📄 medicine

Ultrasound-Activated Piezocatalytic Microneedles Rescue Calcitonin Gene-Related Peptide- Dependent Neuroimmune Homeostasis to Promote Regeneration of Infected Diabetic Wounds

This study presents a synergistic strategy using ultrasound-activated, protease-responsive microneedles loaded with piezocatalytic nanorods and CGRP to simultaneously eradicate bacterial biofilms, modulate the wound microenvironment, and restore neuroimmune signaling, thereby accelerating the regeneration of infected diabetic wounds.

Zhangqi Lai, Guo Zhang, Yan Zhang, Haijuan Teng, Miaochen Wang, Jialong Chen, Bangguo Zhou2026-10-12
📄 medicine

Sublingual vaccination by chitosan-based patch protected aged mice from influenza virus infection

This study demonstrates that a chitosan-based sublingual patch delivering a subunit influenza vaccine provides superior protection against infection in aged mice compared to traditional injections, likely by leveraging age-specific immune mechanisms involving enhanced B cell activation and neutrophil recruitment despite lower antibody levels.

ROVERA Renaud, COIFFIER Céline, GARAPON Cynthia, FERRARO Sandra, COLOMB Evelyne, Sophia DJEBALI, Claire MONGE2026-10-12
📄 medicine

Clinical Determinants of Surgical Difficulty in Robotic Rectal Cancer Surgery: Toward Preoperative Risk Stratification

This retrospective study of 638 patients identifies male sex, higher body mass index, neoadjuvant chemoradiotherapy, and mid-rectal tumor location as independent predictors of increased surgical difficulty in robotic-assisted rectal cancer surgery, providing a basis for improved preoperative risk stratification.

Tzu-Chieh Yin, Wei-Chih Su, Tsung-Kun Chang, I-Chieh Lee, Fan-Sheng Chen, Po-Jung Chen, Ching-Chun Li, Yen-Cheng Chen, C (…)2026-10-12
📄 medicine

Clinical Efficacy and Electrophysiological Mechanisms of Closed-Loop Neuromodulation for the Treatment of Drug-Resistant Epilepsy

This study demonstrates that closed-loop neuromodulation provides safe, cumulative, and patient-specific seizure control for drug-resistant epilepsy through the plastic reorganization of local inhibitory microcircuits and suppression of long-range epileptic propagation, as evidenced by distinct intracranial gamma-band enhancements and scalp slow-wave changes.

Zihao Wang, Tianqi Hu, Haipeng Xie, Di Zhang, Yaning Sun, Jingwen Zhang, Xuehua Cui, Jie Zheng, Jiegang Yu, Shunyao Zhan (…)2026-10-12
📄 medicine

Social participation diversity and cognitive trajectories in older adults with hypertension and diabetes: a longitudinal cohort study

This longitudinal study of older adults with hypertension and/or diabetes reveals that greater diversity in social participation, particularly engaging in three to four different activity types, is significantly associated with better long-term cognitive trajectories, whereas vigorous physical activity showed no significant link to cognitive function.

yiran zhu¹, jiahao wang¹, yangnian li¹, xiaohui zhang¹, junyuan chen2026-10-12
📄 medicine

Targeted Next-Generation Sequencing Reveals Co-infection Patterns and Risk Factors for Severe Pneumonia in Influenza A(H1N1) pdm09

This retrospective study utilizing targeted next-generation sequencing identifies advanced age, elevated BMI, specific respiratory symptoms, and a distinct shift toward fungal and viral co-infections as key risk factors and pathogen profiles distinguishing severe from mild Influenza A(H1N1)pdm09 pneumonia.

Zhihao Lie, Yinghong Hu, Jiaqi Chen, Zeqi Lai, Zixin Fang, Huizhong Liu, Jingyi Liang, Zhiqi Zeng, Zifeng Yang2026-10-12
📄 medicine

Divergent fall burden across multidimensional health, functional, and social profiles among adults aged 60 years and older: a cross-sectional latent class analysis of BRFSS

This cross-sectional latent class analysis of over 189,000 U.S. adults aged 60 and older reveals that fall burden varies significantly across six distinct multidimensional profiles, demonstrating that functional, cognitive, mobility, and social characteristics are more predictive of fall risk than morbidity or cardiometabolic treatment status alone.

Onchira Vadtanapong, Prasert Kham-ai, Kancharee Pattana, Peng Li2026-10-12