📄 medicine

Prevalence, Socioeconomic Determinants, and Health-System Factors Associated with Laboratory-Confirmed Renal Impairment Among Adults Attending Tertiary Referral Hospitals in Mogadishu, Somalia: A Cross-Sectional Study

This cross-sectional study of 200 adults at tertiary hospitals in Mogadishu, Somalia, reveals a high prevalence of renal impairment (64% previously diagnosed) strongly associated with older age, hypertension, diabetes, non-prescribed NSAID use, and treatment non-adherence, highlighting the urgent need for integrated early detection, improved diagnostic capacity, and better regulation of nephrotoxic medications within the national health system.

MPH. BSC Abdirezak Mawlid Abdi. RN, Hamda almis2026-10-22
📄 medicine

Comparative effectiveness of three myopia-control spectacle lenses in Chinese children: a real-world retrospective cohort study

In a real-world retrospective cohort study of Chinese children, all three myopia-control spectacle lens designs (DIMS, HAL, and DOT) significantly slowed axial elongation compared to single-vision lenses, with DOT demonstrating superior efficacy and the highest probability of a good treatment response.

Xiaoying Xing, Ziyue Song, Qi Yu, Kou Zhang, Shiao Yu2026-10-22
📄 medicine

Discrepancies between the measured distances of the anterior inner lung boundaries at autopsy and post-mortem CT

This retrospective study of 146 forensic cases reveals that measurements of the anterior inner lung boundary distances are significantly larger during autopsy than on post-mortem CT by an average of 7.0 mm, a difference that is generally forensically irrelevant but may vary in individual cases without being explained by the demographic or pathological factors examined.

Sandro Wenger, Chantal Fridle, Conny Hartmann, Wolf-Dieter Zech2026-10-22
📄 medicine

Characteristics of hemodynamics and fluid management in severe amlodipine poisoning with shock: a retrospective case series

This retrospective case series characterizes severe amlodipine poisoning as a state of vasoplegic shock with hyperdynamic left ventricular function and right-heart strain, where elevated initial central venous pressure predicts longer hospital stays and early negative fluid balance facilitates faster vasopressor weaning.

Chenlong Wang, Peng Cao, Dingyu Tan, Jiayan Sun2026-10-22
📄 medicine

Knowledge of physical activity, level of physical activity & functional performance in patients with type 2 Diabetes mellitus: A cross-sectional study

This cross-sectional study of 63 patients with type 2 diabetes found that while participants possessed moderate physical activity knowledge and engaged in varying levels of activity, neither knowledge nor activity levels significantly correlated with functional performance, suggesting that interventions beyond these factors are needed to improve diabetes management outcomes.

Pinak Rajadhyaksha, Jui Bane, Medha Oak, Asmita Karajgi2026-10-22
📄 medicine

Interleukin 6 and high sensitive C reactive protein in predicting in-stent restenosis in patients undergoing percutaneous coronary intervention

This study demonstrates that elevated pre-procedural interleukin-6 levels and higher Gensini scores are significantly associated with and moderately predictive of in-stent restenosis in patients undergoing percutaneous coronary intervention, whereas high-sensitivity C-reactive protein did not show statistical significance.

Nadia Bouzidi, Hassine Majed, Hassen Ben Abdennebi2026-10-22
📄 medicine

Japanese survey of perioperative antibiotic prophylaxis in cataract surgery

A 2025 Japanese national survey reveals that while overall perioperative antibiotic use in cataract surgery has declined since previous years, intracameral antibiotics remain underutilized despite showing a lower rate of infectious endophthalmitis, particularly when using diluted moxifloxacin.

Kazuki Matsuura, Takafumi Mori, Dai Miyazaki, Ryohei Nejima, Takao Hirano, Shun Yamazaki, Hidenori Inoue, Riki Kijima, M (…)2026-10-22
📄 medicine

Loneliness as a symptom of major depression in youth: a cohort study

This cohort study of Brazilian adolescents and young adults identifies loneliness as a central symptom and severity indicator of major depressive disorder, demonstrating that individuals with both conditions face significantly higher risks of life-threatening outcomes and poorer well-being compared to those with depression alone.

João Villanova Amaral, Gabriele dos Santos Jobim, Christian Kieling, João Pedro Gonçalves Pacheco, Lucas Toshio Ito, Raf (…)2026-10-22
📄 medicine

Role of ivabradine in postoperative tachyarrhythmias after congenital cardiac surgery

This retrospective study of 55 patients undergoing congenital cardiac surgery demonstrates that ivabradine monotherapy is an effective and safe first-line treatment for postoperative automaticity-driven tachyarrhythmias, particularly junctional ectopic tachycardia, though a subset of patients may require adjunctive therapy to achieve rhythm control.

Muhammad Mohsin, Rajab Ali khokar, Faryal Adil, Madiha Waseem, Aniqa Batool, Abdul Sattar Sheikh2026-10-22