📄 medicine

CT-based 3D Models for osseous Shoulder Movement Simulation of Patients with Greater Tuberosity Fractures: A Feasibility Study

This feasibility study demonstrates that CT-based 3D virtual motion simulations are effective for visualizing bony impingement and predicting limited abduction in patients with greater tuberosity fractures, suggesting their potential utility in guiding surgical decision-making.

Sebastian Wangler, Stephanie Erdbrink, Till Lerch, Michael Künzler, Helen Moser, Michael Schär2026-07-10
📄 medicine

Rapid Symptom Response Pathway and Hospital Utilization After Radical Cystectomy: A Multicenter Interrupted Time-Series Study

This multicenter interrupted time-series study demonstrates that implementing a structured Rapid Symptom Response Pathway significantly reduces 30-day unplanned readmissions, emergency department visits, and length of stay for patients undergoing radical cystectomy by enabling proactive symptom monitoring and rapid clinical intervention.

Zhangcong Lu, Guimei Ji, Conghui Li, Jing Zhang, Yue Li, Xiaobing Feng, Bin Xu, Yankai Xu, Yuchen Zeng, Zhean Li, Ruilon (…)2026-07-10
📄 medicine

Factors Associated with Unmet Patient Care, Sexual Health, and Health System Needs Among Cancer Patients at an Oncology Center in Southern Ethiopia, 2024

A 2024 cross-sectional study at Hawassa University's Oncology Center in Ethiopia found that unmet supportive care needs among cancer patients are prevalent, particularly in health system and information domains, and are significantly associated with low income, co-existing illnesses, and longer time since diagnosis.

Amdehiwot Aynalem, Asaye Amenu, Wegene Jemebere, Yacob Abraham Borie, Meless Gebrie Bore2026-07-10
📄 medicine

Risk factors of Intrauterine Pregnancy Loss Following Surgical of Heterotopic Pregnancy:A Retrospective Analysis of 102 Cases from a Single Center

This retrospective analysis of 102 heterotopic pregnancy cases identifies preoperative fetal cardiac activity and a postoperative-to-preoperative HCG ratio of at least 1/3 as independent protective factors against intrauterine pregnancy loss, while highlighting the importance of minimizing uterine manipulation during surgical intervention.

Huaming Zhang, Qiaowen Bu, Xiaoshan Hong, Xiaoli Sun, Xiaohui Huang2026-07-10
📄 medicine

Bidirectional Prediction of Diabetes-Hypertension Comorbidity Transitions from Multimodal Outpatient EMRs: A Reference-Deviation-Aware Multimodal Stacking Framework (RD-MMS)

This paper introduces the Reference-Deviation-Aware Multimodal Stacking (RD-MMS) framework, which leverages a large-scale real-world outpatient dataset to achieve robust, temporally stable bidirectional prediction of diabetes-hypertension comorbidity transitions despite low laboratory test coverage.

Shaofeng Tan, Haoqiang Liu, Luyao Tong, Xiaoxuan Zhao, Jiamin Zhang, LIsha Shuai, Min Zhang, Xiaolong Yang2026-07-10
📄 medicine

Characterizing Plasmodium vivax malaria in Ethiopia using PCR and serological assays in a P. falciparum co-endemic context: PvSTATEM baseline study

This baseline study in Ethiopia's West Arsi Zone reveals substantial and heterogeneous *Plasmodium vivax* transmission that is underestimated by molecular diagnostics alone, demonstrating that serological assays effectively identify a large reservoir of recent exposure and, combined with the rarity of G6PD deficiency, support the feasibility of targeted radical cure strategies for elimination.

Fekadesilassie Mozart Mesafint, Tadele Emiru, Isabel Byrne, Tilahun Ketema, Fikregabrail Aberra Kassa, Melat Abdo, Firde (…)2026-07-10
📄 medicine

Measuring and reducing intervention misalignment in next best action selection for care management: a within-patient natural experiment

This study quantifies a 27% intervention misalignment in care management for rising-risk Medicaid patients, primarily driven by the under-addressing of social needs, and demonstrates that the PEARL policy, which leverages within-patient natural experiments and fairness constraints, can reduce this misalignment to 2.0% while avoiding the severe performance degradation seen in fairness-agnostic variants.

Sanjay Basu, Parth Sheth, Sadiq Patel2026-07-10
📄 medicine

The Deceptive Mask: Poorly Differentiated Sarcoma Masquerading as Disseminated Tuberculosis and Invasive Fungal Infection

This case report highlights the critical diagnostic pitfall of attributing pulmonary nodules and trace infectious biomarkers to tuberculosis or fungal infection in immunocompetent patients, as illustrated by a young male whose poorly differentiated sarcoma with brain metastases was only confirmed after failing anti-infective therapy and undergoing a brain biopsy.

Ajay Sudhakar, Elizabeth Sunila, Praveen Valsalan2026-07-10